Casey D E, Hammerstad J P
J Clin Psychiatry. 1979 Nov;40(11):483-5.
Recent findings suggest that tardive dyskinesia may involve GABA-ergic influences in addition to dopaminergic receptor hypersensitivity and relative cholinergic hypofunction. Sodium valproate, which may increase brain GABA, moderately recuded tardive dyskinesia with doses of 900--3000 mg/day, as measured by a tremorgraph and rating scales. There was no correlation between dosage, blood levels, or clinical response. Although the symptoms were not completely controlled, valproate and other GABA-ergic agents may be useful compounds in studying and treating tardive dyskinesia.
最近的研究结果表明,迟发性运动障碍除了涉及多巴胺能受体超敏反应和相对胆碱能功能减退外,可能还涉及γ-氨基丁酸(GABA)能的影响。丙戊酸钠可增加大脑中的GABA,以震颤描记器和评分量表测量,每天服用900 - 3000毫克的剂量可适度减轻迟发性运动障碍。剂量、血药浓度和临床反应之间没有相关性。虽然症状没有得到完全控制,但丙戊酸钠和其他GABA能药物可能是研究和治疗迟发性运动障碍的有用化合物。