Parkinsonism with HIV infection.
Identifieur interne : 003852 ( Main/Exploration ); précédent : 003851; suivant : 003853Parkinsonism with HIV infection.
Auteurs : S M Mirsattari [Canada] ; C. Power ; A. NathSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1998.
English descriptors
- KwdEn :
- AIDS Dementia Complex (diagnosis), AIDS Dementia Complex (drug therapy), AIDS-Related Opportunistic Infections (diagnosis), AIDS-Related Opportunistic Infections (drug therapy), Adult, Anti-HIV Agents (adverse effects), Anti-HIV Agents (therapeutic use), Antipsychotic Agents (adverse effects), Benztropine (adverse effects), Benztropine (therapeutic use), Drug Therapy, Combination, HIV Infections (diagnosis), HIV Infections (drug therapy), Homosexuality, Male, Humans, Male, Neurologic Examination (drug effects), Parkinson Disease, Secondary (chemically induced), Parkinson Disease, Secondary (diagnosis), Risk Factors, Zidovudine (adverse effects), Zidovudine (therapeutic use).
- MESH :
- chemical , adverse effects : Anti-HIV Agents, Antipsychotic Agents, Benztropine, Zidovudine.
- chemically induced : Parkinson Disease, Secondary.
- diagnosis : AIDS Dementia Complex, AIDS-Related Opportunistic Infections, HIV Infections, Parkinson Disease, Secondary.
- drug effects : Neurologic Examination.
- drug therapy : AIDS Dementia Complex, AIDS-Related Opportunistic Infections, HIV Infections.
- chemical , therapeutic use : Anti-HIV Agents, Benztropine, Zidovudine.
- Adult, Drug Therapy, Combination, Homosexuality, Male, Humans, Male, Risk Factors.
Abstract
We describe six patients with parkinsonism and another 10 patients with parkinsonian features with human immunodeficiency virus (HIV) infection. In 50% of these patients, the symptoms were precipitated by neuroleptics. In the remaining patients, no obvious cause other than HIV infection was identified. Discontinuation of the neuroleptics produced complete recovery in one patient and partial or no response in others. Rapid progression of parkinsonism was noted in two patients, one of whom was treated with high-dose zidovudine (AZT) and benztropine. We conclude that patients with AIDS are at risk of developing an akinetic parkinsonism which may be precipitated by the use of neuroleptics, response to treatment is variable, and parkinsonism may be another primary HIV-induced syndrome.
DOI: 10.1002/mds.870130413
PubMed: 9686775
Affiliations:
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Le document en format XML
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<term>Zidovudine (therapeutic use)</term>
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<front><div type="abstract" xml:lang="en">We describe six patients with parkinsonism and another 10 patients with parkinsonian features with human immunodeficiency virus (HIV) infection. In 50% of these patients, the symptoms were precipitated by neuroleptics. In the remaining patients, no obvious cause other than HIV infection was identified. Discontinuation of the neuroleptics produced complete recovery in one patient and partial or no response in others. Rapid progression of parkinsonism was noted in two patients, one of whom was treated with high-dose zidovudine (AZT) and benztropine. We conclude that patients with AIDS are at risk of developing an akinetic parkinsonism which may be precipitated by the use of neuroleptics, response to treatment is variable, and parkinsonism may be another primary HIV-induced syndrome.</div>
</front>
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<country name="Canada"><region name="Manitoba"><name sortKey="Mirsattari, S M" sort="Mirsattari, S M" uniqKey="Mirsattari S" first="S M" last="Mirsattari">S M Mirsattari</name>
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