[A case of parkinsonism induced by an oral contraceptive].
Identifieur interne : 000463 ( Main/Exploration ); précédent : 000462; suivant : 000464[A case of parkinsonism induced by an oral contraceptive].
Auteurs : M. Yasui [Japon] ; T. Kihira ; K. Ota ; K. Funahashi ; N. KomaiSource :
- Nō to shinkei = Brain and nerve [ 0006-8969 ] ; 1992.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Contraceptifs oraux combinés (effets indésirables), Femelle (MeSH), Humains (MeSH), Imagerie par résonance magnétique (MeSH), Norgestrel (effets indésirables), Syndrome parkinsonien secondaire (diagnostic), Syndrome parkinsonien secondaire (induit chimiquement), Éthinyloestradiol (effets indésirables).
- MESH :
- diagnostic : Syndrome parkinsonien secondaire.
- effets indésirables : Contraceptifs oraux combinés, Norgestrel, Éthinyloestradiol.
- induit chimiquement : Syndrome parkinsonien secondaire.
- Adulte, Femelle, Humains, Imagerie par résonance magnétique.
English descriptors
- KwdEn :
- MESH :
- chemical , adverse effects : Contraceptives, Oral, Combined, Ethinyl Estradiol, Norgestrel.
- chemically induced : Parkinson Disease, Secondary.
- diagnosis : Parkinson Disease, Secondary.
- Adult, Female, Humans, Magnetic Resonance Imaging.
Abstract
We report a case of parkinsonism induced by long term administration of an oral contraceptive. A 38-year-old woman complained of easily stumbling, démarche à petit pas and fatiguability in her lower extremities since January, 1991. When examined on April 5, 1991, she explained taking an oral contraceptive for 7 years on her doctor's recommendation after two times artificial abortions. Her facial expression was mask-like and body was bent forward with knee joints flexed and arms flexed at elbow joints. She had frozen gait with inactive pendulousness of the arms. We could find her muscle rigidity in both upper and lower extremities, especially in her right side extremities. A brain MRI finding was lacunar infarction which proton density weighted and T2-weighted MR images showed small patches of high-signal intensities in white matter of the bilateral frontal lobes and in left periventricular white matter. Her symptoms improved after stopping administration of the oral contraceptive and starting combination therapy with nicergoline and bromocriptine. She had some leg fatiguability at the onset of her next menstruation in May, but it was much less than her previous condition. When her menstruation terminated, those symptoms disappeared and it was possible to stop the administration of bromocriptine and nicergoline, and her symptoms have improved.
PubMed: 1567736
Affiliations:
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Le document en format XML
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<term>Contraceptives, Oral, Combined (adverse effects)</term>
<term>Ethinyl Estradiol (adverse effects)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Magnetic Resonance Imaging (MeSH)</term>
<term>Norgestrel (adverse effects)</term>
<term>Parkinson Disease, Secondary (chemically induced)</term>
<term>Parkinson Disease, Secondary (diagnosis)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Contraceptifs oraux combinés (effets indésirables)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Imagerie par résonance magnétique (MeSH)</term>
<term>Norgestrel (effets indésirables)</term>
<term>Syndrome parkinsonien secondaire (diagnostic)</term>
<term>Syndrome parkinsonien secondaire (induit chimiquement)</term>
<term>Éthinyloestradiol (effets indésirables)</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Contraceptives, Oral, Combined</term>
<term>Ethinyl Estradiol</term>
<term>Norgestrel</term>
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<keywords scheme="MESH" qualifier="chemically induced" xml:lang="en"><term>Parkinson Disease, Secondary</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Contraceptifs oraux combinés</term>
<term>Norgestrel</term>
<term>Éthinyloestradiol</term>
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<term>Humans</term>
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<term>Femelle</term>
<term>Humains</term>
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<front><div type="abstract" xml:lang="en">We report a case of parkinsonism induced by long term administration of an oral contraceptive. A 38-year-old woman complained of easily stumbling, démarche à petit pas and fatiguability in her lower extremities since January, 1991. When examined on April 5, 1991, she explained taking an oral contraceptive for 7 years on her doctor's recommendation after two times artificial abortions. Her facial expression was mask-like and body was bent forward with knee joints flexed and arms flexed at elbow joints. She had frozen gait with inactive pendulousness of the arms. We could find her muscle rigidity in both upper and lower extremities, especially in her right side extremities. A brain MRI finding was lacunar infarction which proton density weighted and T2-weighted MR images showed small patches of high-signal intensities in white matter of the bilateral frontal lobes and in left periventricular white matter. Her symptoms improved after stopping administration of the oral contraceptive and starting combination therapy with nicergoline and bromocriptine. She had some leg fatiguability at the onset of her next menstruation in May, but it was much less than her previous condition. When her menstruation terminated, those symptoms disappeared and it was possible to stop the administration of bromocriptine and nicergoline, and her symptoms have improved.</div>
</front>
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<name sortKey="Komai, N" sort="Komai, N" uniqKey="Komai N" first="N" last="Komai">N. Komai</name>
<name sortKey="Ota, K" sort="Ota, K" uniqKey="Ota K" first="K" last="Ota">K. Ota</name>
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<country name="Japon"><noRegion><name sortKey="Yasui, M" sort="Yasui, M" uniqKey="Yasui M" first="M" last="Yasui">M. Yasui</name>
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