抗精神病药所致帕金森综合征中复发性舌震颤
Re-emergent Tongue Tremor in Neuroleptic-induced Parkinsonism.
作者信息
Prasad Shweta, Holla Vikram V, Pal Pramod Kumar
机构信息
Department of Clinical Neurosciences, National Institute of Mental Health and Neurosciences, Hosur Road, Bangalore-560029, Karnataka, IN.
Department of Neurology, National Institute of Mental Health and Neurosciences, Hosur Road, Bangalore-560029, Karnataka, IN.
出版信息
Tremor Other Hyperkinet Mov (N Y). 2019 Mar 6;9:632. doi: 10.7916/7ndm-gx63. eCollection 2019.
BACKGROUND
A re-emergent tremor is suggested to be specific to Parkinson's disease and although a tongue tremor has been reported in levosulpiride-induced parkinsonism (LIP), re-emergence has never been reported.
CASE REPORT
A 59-year-old female presented with a 3-month history of bradykinesia, 2-week history of right-leg tremor, and 10-day history of lip and tongue tremor. A review of the medication revealed a 15-month history of levosulpiride consumption. On examination, asymmetric bradykinesia, rigidity, rest tremor of the right leg, and re-emergent tongue tremor were observed. The parkinsonism subsided after levosulpiride was stopped.
DISCUSSION
This is the first report of re-emergent tongue tremor in LIP.
背景
再发性震颤被认为是帕金森病所特有的，尽管已有左旋硫必利诱发帕金森综合征（LIP）时出现舌震颤的报道，但再发性舌震颤从未被报道过。
病例报告
一名59岁女性，有3个月的运动迟缓病史、2周的右腿震颤病史以及10天的唇和舌震颤病史。回顾用药情况发现有15个月的左旋硫必利用药史。检查时，观察到不对称性运动迟缓、肌强直、右腿静止性震颤和再发性舌震颤。停用左旋硫必利后帕金森综合征症状消退。
讨论
这是LIP中再发性舌震颤的首例报告。
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