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[进行性核上性麻痹的治疗]

[Treatment of progressive supranuclear palsy].

作者信息

Finali G, Piccinin G L, Piccirilli M, Stefano E

出版信息

Clin Ter. 1989 Jun 15;129(5):339-51.

PMID:2569956
Abstract

The neuropharmacological and neurochemical features of Progressive Supranuclear Palsy (PSP) are reviewed, together with the results obtained by various therapeutic trials. PSP is a neurodegenerative disease which often causes Parkinsonian symptoms but dopaminomimetic drugs have given rise to poor improvement, in spite of dopamine decrease observed in PSP patients' nigrostriatal region. The uselessness of L-DOPA therapy in PSP patients may explain the numerous failures encountered in PSP patients misdiagnosed as Parkinsonian. On the basis of the recent discovery of striatal dopaminergic receptor abnormalities and of interaction between various neurotransmitters, the authors suggest some possible therapeutic substances that might improve the outcome of the disease.

摘要

本文综述了进行性核上性麻痹(PSP)的神经药理学和神经化学特征,以及各种治疗试验所取得的结果。PSP是一种神经退行性疾病,常导致帕金森氏症症状,尽管在PSP患者的黑质纹状体区域观察到多巴胺减少,但多巴胺模拟药物的改善效果不佳。PSP患者使用左旋多巴治疗无效,这可能解释了在被误诊为帕金森氏症的PSP患者中遇到的众多治疗失败案例。基于最近发现的纹状体多巴胺能受体异常以及各种神经递质之间的相互作用,作者提出了一些可能改善该疾病预后的治疗物质。

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