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[迟发性锥体外系运动亢进与抗精神病药撤药后运动障碍。实际问题]

[Late extrapyramidal hyperkinesis and neuroleptic withdrawal dyskinesia. Practical problems].

作者信息

Hoffmann C, Faust V

出版信息

Fortschr Med. 1983 Mar 24;101(11):470-6.

PMID:6133824
Abstract

Neuroleptic-induced, late-occurring dyskinesia has gained more and more of importance. Essential causes are: increased continued long-term treatment as well as the advanced age of long-term patients treated with neuroleptics. Problems of daily practice and their treatment find little attention, contrary to the wide-spread literature on theoretical cases and diagnostic criteria of disturbances. Withdrawal- and tardive dyskinesiae are the most important among neuroleptic-induced dyskinesiae. The manifold disturbances of motion are generally found in the orofacial region, the trunk, and the extremities. Errors in differential diagnosis will occur occasionally.

摘要

抗精神病药物所致的迟发性运动障碍越来越受到重视。主要原因包括:长期持续治疗时间增加以及使用抗精神病药物治疗的长期患者年龄较大。与关于理论病例和障碍诊断标准的广泛文献相反,日常实践中的问题及其治疗很少受到关注。撤药后运动障碍和迟发性运动障碍是抗精神病药物所致运动障碍中最重要的。多种运动障碍通常见于口面部区域、躯干和四肢。偶尔会出现鉴别诊断错误。

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