[地塞米松治疗亨廷顿舞蹈病:初步结果]。

Rivista di neurologia Pub Date : 1991-11-01
A Nuti, C Maremmani, R Ceravolo, N Pavese, U Bonuccelli, A Muratorio
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引用次数: 0

摘要

抗精神病药物是目前治疗亨廷顿舞蹈病(HC)的常用药物。然而,抗精神病药可以改善不自主运动,但不能改善功能表现和疾病进展。一些临床和实验数据表明,皮质类固醇与锥体外系系统存在功能关系。我们给六名舞蹈家注射了地塞米松,都是女性。地塞米松按4mg /d静脉滴注20 d, 8mg /d静脉滴注20 d。使用两种剂量的地塞米松均可显著改善运动障碍(用AIMS评估)和手灵巧性(用Tapping测试评估)(p < 0.05)。虽然目前尚不清楚地塞米松有利作用的机制,但它可能为HC治疗开辟新的视角。
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[Dexamethasone therapy in Huntington chorea: preliminary results].

Neuroleptic drugs represent the current therapy for Huntington's chorea (HC). However neuroleptics can improve involuntary movements, but not functional performance and disease progression. Several clinical and experimental data suggest the existence of functional relationship between corticosteroids and extrapyramidal system. We administered dexamethasone to six choreics, all female. Dexamethasone was given i.m. at dose of 4 mg/die for 20 days and 8 mg/die for 20 days more. Dexamethasone at both the doses used, determined significant improvement (p less than 0.05) of dyskinesia, evaluated by AIMS, and manual dexterity, evaluated by Tapping test. Although at present it is not clear which mechanism are responsible for this of dexamethasone favourable effect, it might open new perspectives in HC therapy.

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