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帕金森病患者的局部脑血流量。左旋多巴治疗前后的测量。

Regional cerebral blood flow in parkinsonism. Measurement before and after levodopa.

作者信息

Melamed E, Lavy S, Cooper G, Bentin S

出版信息

J Neurol Sci. 1978 Oct;38(3):391-7. doi: 10.1016/0022-510x(78)90144-2.

DOI:10.1016/0022-510x(78)90144-2
PMID:731264
Abstract

Data from recent studies in experimental animals suggest that central dopaminergic mechanisms may be involved in regulation of the regional cerebral blood flow (rCBF) in the mammalian brain. In order to evaluate possible effects of dopaminergic stimulation on human cerebral circulation, rCBF was measured by the 133Xenon inhalation technique in 26 patients with Parkinson's disease before and after the chronic oral administration of levodopa combined with a peripheral Dopa-decarboxylase inhibitor. Treatment with levodopa did not induce significant alterations in the mean brain, mean hemispheric or regional flow values in these patients. These findings suggest that the dopaminergic system does not play an important role in modulation of the rCBF in man.

摘要

近期对实验动物的研究数据表明,中枢多巴胺能机制可能参与了哺乳动物大脑局部脑血流量(rCBF)的调节。为了评估多巴胺能刺激对人体脑循环的可能影响,采用133氙吸入技术,对26例帕金森病患者在长期口服左旋多巴联合外周多巴脱羧酶抑制剂前后进行了rCBF测量。左旋多巴治疗并未引起这些患者大脑平均血流量、半球平均血流量或局部血流量值的显著改变。这些发现提示,多巴胺能系统在调节人类rCBF方面并不起重要作用。

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1
Regional cerebral blood flow in parkinsonism. Measurement before and after levodopa.帕金森病患者的局部脑血流量。左旋多巴治疗前后的测量。
J Neurol Sci. 1978 Oct;38(3):391-7. doi: 10.1016/0022-510x(78)90144-2.
2
[The effects of dopamine on regional cerebral blood flow in patients with Parkinson's disease before and after L-dopa--measurement by Xe-enhanced CT].
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Levodopa-induced regional cerebral blood flow changes in normal volunteers and patients with Parkinson's disease. Lack of correlation with clinical or neuropsychological improvements.左旋多巴对正常志愿者和帕金森病患者局部脑血流的影响。与临床或神经心理学改善无关。
Mov Disord. 1987;2(4):279-89. doi: 10.1002/mds.870020405.
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Regional cerebral blood flow in patients with Parkinson's disease under chronic levodopa therapy: measurements during "on" and "off" response fluctuations.慢性左旋多巴治疗的帕金森病患者的局部脑血流量:“开”和“关”反应波动期间的测量
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Regional cerebral blood flow in hemiparkinsonian patients. Emission computerized tomography of inhaled 133Xenon before and after levodopa.偏侧帕金森病患者的局部脑血流。左旋多巴治疗前后吸入133氙的发射型计算机断层扫描。
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Levodopa-induced local cerebral blood flow changes in Parkinson's disease and related disorders.左旋多巴诱发的帕金森病及相关疾病的局部脑血流变化。
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[Treatment of Parkinson's disease with levodopa and a dopa decarboxylase inhibitor].左旋多巴与多巴脱羧酶抑制剂治疗帕金森病
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[Characteristics of regional cerebral circulation in parkinsonism patients according the 133Xe clearance findings].[根据¹³³Xe清除率结果分析帕金森病患者的局部脑循环特征]
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Long term treatment and disease severity change brain responses to levodopa in Parkinson's disease.
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Technetium-99m hexamethylpropylene amine oxime single photon emission tomography of the brain in early Parkinson's disease: correlation with dementia and lateralization.早期帕金森病患者脑部的锝-99m六甲基丙烯胺肟单光子发射断层扫描:与痴呆及脑叶定位的相关性
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Local cerebral glucose utilisation in treated and untreated patients with Parkinson's disease.
J Neurol Neurosurg Psychiatry. 1984 Aug;47(8):824-30. doi: 10.1136/jnnp.47.8.824.
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Regional cerebral blood flow in patients with Parkinson's disease under chronic levodopa therapy: measurements during "on" and "off" response fluctuations.慢性左旋多巴治疗的帕金森病患者的局部脑血流量:“开”和“关”反应波动期间的测量
J Neurol Neurosurg Psychiatry. 1986 Nov;49(11):1301-4. doi: 10.1136/jnnp.49.11.1301.