Drug intervention for freezing of gait to dopaminergic therapy: A pilot resistant study

被引:14
作者
Kondo, Tomoyoshi [1 ]
机构
[1] Wakayama Med Univ, Dept Neurol, Wakayama 6418510, Japan
关键词
gait; freezing; therapy; PSP; pure akinesia;
D O I
10.1016/j.parkreldis.2006.05.018
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Freezing of gait (FOG) is observed in patients with various diseases and remains difficult to treat when unresponsive to dopaminergic treatment. In this paper, we report the results of drug intervention in the treatment of FOG in patients with progressive supranuclear palsy (PSP) and pure akinesia (PA). The effects of four drugs (donepezil vs droxidopa and amantadine vs selegiline) were investigated by crossover design. Two PSP patients and seven PA patients participated in these studies. Except for one patient who participated only in the amantadine vs droxidopa study, all patients participated in all studies. In PA patients, average Japanese FOG questionnaire (JFOGO) scores significantly decreased, following administration of donepezil, droxidopa and amantadine. These results suggest that cholinergic, noradrenergic and glutamatergic neuronal dysfunctions participate in FOG development in PA patients. (c) 2006 Published by Elsevier Ltd.
引用
收藏
页码:S63 / S66
页数:4
相关论文
共 28 条
[1]   START HESITATION - SIDE-EFFECT OF LONG-TERM LEVODOPA THERAPY [J].
AMBANI, LM ;
VANWOERT, MH .
NEW ENGLAND JOURNAL OF MEDICINE, 1973, 288 (21) :1113-1115
[2]   L-THREODOPS INCREASES EXTRACELLULAR NOREPINEPHRINE LEVELS IN THE BRAIN - AN INVIVO STUDY [J].
BRANNAN, T ;
BHARDWAJ, A ;
YAHR, MD .
NEUROLOGY, 1990, 40 (07) :1134-1135
[3]   Freezing of gait in patients with advanced Parkinson's disease [J].
Giladi, N ;
Treves, TA ;
Simon, ES ;
Shabtai, H ;
Orlov, Y ;
Kandinov, B ;
Paleacu, D ;
Korczyn, AD .
JOURNAL OF NEURAL TRANSMISSION, 2001, 108 (01) :53-61
[4]   Freezing of gait in PD - Prospective assessment in the DATATOP cohort [J].
Giladi, N ;
McDermott, MP ;
Fahn, S ;
Przedborski, S ;
Jankovic, J ;
Stern, M ;
Tanner, C .
NEUROLOGY, 2001, 56 (12) :1712-1721
[5]   Construction of freezing of gait questionnaire for patients with Parkinsonism [J].
Giladi, N ;
Shabtai, H ;
Simon, ES ;
Biran, S ;
Tal, J ;
Korczyn, AD .
PARKINSONISM & RELATED DISORDERS, 2000, 6 (03) :165-170
[6]  
Glover V, 1980, J Neural Transm Suppl, P163
[7]   Mechanisms underlying gait disturbance in Parkinson's disease - A single photon emission computed tomography study [J].
Hanakawa, T ;
Katsumi, Y ;
Fukuyama, H ;
Honda, M ;
Hayashi, T ;
Kimura, J ;
Shibasaki, H .
BRAIN, 1999, 122 :1271-1282
[8]  
IMAI H, 1993, ADV NEUROL, V60, P622
[9]  
IMAI H, 1980, ADV NEUROL SCI TOKYO, V24, P838
[10]  
Jellinger KA, 2000, J NEURAL TRANSM-SUPP, P185