奥氮平治疗口吃1例

Ömer Asan, E. T. Yaylacı, I. T. Okay, E. Göka
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引用次数: 1

摘要

口吃被定义为时间模式和语言流畅性的障碍,不适合个人的年龄。口吃的病理生理学尚未完全了解。一些研究表明,口吃与基底神经节中D2受体数量的增加有关。另外,与对照组相比,结巴患者的多巴胺活性水平增加了50-200%。口吃作为精神药物的副作用是罕见的。文献中只有少数口吃病例是由抗精神病药物如氯丙嗪、氯氮平、奥氮平、利培酮或三氟拉嗪引起的。奥氮平也被用于通过D2受体拮抗剂治疗口吃症状,在文献中有使用奥氮平治疗的病例。我们在此报告一例奥氮平引起的口吃。这个案例的重要性在于表明,虽然奥氮平可以用于治疗口吃,但它也可能作为一种不良反应导致口吃。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A case of stuttering due to olanzapine treatment
A case of stuttering due to olanzapine treatment Stuttering is defined as a disturbance in time patterning and fluency of speech inappropriate for an individual’s age. The pathophysiology of stuttering is not fully understood. Some studies show that stuttering is related with an increased number of D2 receptors in the basal ganglia. Otherwise, a 50-200% increase in the level of dopaminergic activity has been found in stuttering cases in comparison to the control group. Stuttering as a side-effect of psychotropic medication is rare. Only a few stuttering cases are reported in the literature as being due to effects of antipsychotics like chlorpromazine, clozapine, olanzapine, risperidone, or trifluoperazine. Olanzapine is also used to treat the symptoms of stuttering via D2 receptor antagonism, and in the literature there are cases treated with the administration of olanzapine. Here we present a case of olanzapine-induced stuttering. The importance of this case is to show that while olanzapine may be used in the treatment of stuttering, it may also be the cause of stuttering as an adverse effect.
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