Therapy with botulinum neurotoxin for Parkinson's disease.

IF 3.2 4区 医学 Q2 CLINICAL NEUROLOGY Journal of Neural Transmission Pub Date : 2024-11-01 Epub Date: 2024-07-25 DOI:10.1007/s00702-024-02805-y
Wolfgang H Jost, Emir Berberovic
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Abstract

Botulinum neurotoxin (BoNT) has been in use since the 1970's. Its effect is reached mainly by inhibiting the release of acetylcholine in the synaptic gap of motor neurons or at the motor end plate and the parasympathetic ganglia. In the case of Parkinson's disease, it is used to treat several motor and non-motor symptoms. Within recent years increasingly numerous possible fields of application of BoNT have been found for the treatment of Parkinson's disease, and for some specific symptoms it has in fact become the therapy of choice, while for others it is but one of the therapeutic options that come into consideration when others are not sufficiently effective. In the following, we intend to outline the indications, the possible side effects and also the approvals for therapies with botulinum toxin in the primary and secondary symptoms of Parkinson's disease.

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使用肉毒杆菌神经毒素治疗帕金森病。
肉毒杆菌神经毒素(BoNT)自 20 世纪 70 年代开始使用。它主要通过抑制运动神经元突触间隙或运动终板和副交感神经节中乙酰胆碱的释放来发挥作用。对于帕金森病,它可用于治疗多种运动和非运动症状。近年来,人们发现 BoNT 在治疗帕金森病方面有越来越多的应用领域,对于某些特定症状,BoNT 事实上已成为首选疗法,而对于其他症状,当其他疗法效果不佳时,BoNT 只是考虑的疗法之一。在下文中,我们将概述肉毒杆菌毒素治疗帕金森病原发性和继发性症状的适应症、可能的副作用以及批准情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Neural Transmission
Journal of Neural Transmission 医学-临床神经学
CiteScore
7.20
自引率
3.00%
发文量
112
审稿时长
2 months
期刊介绍: The investigation of basic mechanisms involved in the pathogenesis of neurological and psychiatric disorders has undoubtedly deepened our knowledge of these types of disorders. The impact of basic neurosciences on the understanding of the pathophysiology of the brain will further increase due to important developments such as the emergence of more specific psychoactive compounds and new technologies. The Journal of Neural Transmission aims to establish an interface between basic sciences and clinical neurology and psychiatry. It intends to put a special emphasis on translational publications of the newest developments in the field from all disciplines of the neural sciences that relate to a better understanding and treatment of neurological and psychiatric disorders.
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