Symptomatic Treatment of Extrapyramidal Hyperkinetic Movement Disorders.

IF 4.8 2区 医学 Q1 NEUROSCIENCES
Gregory de Boer, Robertus Maria Alfonsius de Bie, Bart Erik Kris Sylvain Swinnen
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引用次数: 0

Abstract

Extrapyramidal hyperkinetic movement disorders comprise a broad range of phenotypic phenomena, including chorea, dystonia, and tics. Treatment is generally challenging and individualized, given the overlapping phenomenology, limited evidence regarding efficacy, and concerns regarding the tolerability and safety of most treatments. Over the past decade, the treatment has become even more intricate due to advancements in the field of deep brain stimulation as well as optimized dopamine- depleting agents. Here, we review the current evidence for treatment modalities of extrapyramidal hyperkinetic movement disorders and provide a comprehensive and practical overview to aid the choice of therapy. Mechanism of action and practical intricacies of each treatment modality are discussed, focusing on dosing and adverse effect management. Finally, future therapeutic developments are also discussed.

锥体外系过度运动障碍的对症治疗。
锥体外系运动功能亢进症由多种表型现象组成,包括舞蹈症、肌张力障碍和抽搐。由于现象相互重叠、疗效证据有限、大多数治疗方法的耐受性和安全性令人担忧,因此治疗通常具有挑战性和个性化。在过去的十年中,由于脑深部刺激领域的进步以及多巴胺耗竭剂的优化,治疗变得更加复杂。在此,我们回顾了锥体外系运动功能亢进症治疗模式的现有证据,并提供了一个全面而实用的概述,以帮助患者选择治疗方法。我们讨论了每种治疗方式的作用机制和复杂的实际操作,重点是剂量和不良反应的处理。最后,还讨论了未来的治疗发展。
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来源期刊
Current Neuropharmacology
Current Neuropharmacology 医学-神经科学
CiteScore
8.70
自引率
1.90%
发文量
369
审稿时长
>12 weeks
期刊介绍: Current Neuropharmacology aims to provide current, comprehensive/mini reviews and guest edited issues of all areas of neuropharmacology and related matters of neuroscience. The reviews cover the fields of molecular, cellular, and systems/behavioural aspects of neuropharmacology and neuroscience. The journal serves as a comprehensive, multidisciplinary expert forum for neuropharmacologists and neuroscientists.
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