Medical treatment of dystonia.
Identifieur interne : 000917 ( Main/Curation ); précédent : 000916; suivant : 000918Medical treatment of dystonia.
Auteurs : Joseph Jankovic [États-Unis]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2013.
English descriptors
- KwdEn :
- Anti-Dyskinesia Agents (therapeutic use), Baclofen (therapeutic use), Botulinum Toxins (therapeutic use), Cholinergic Antagonists (therapeutic use), Disease Management, Dopamine Agents (therapeutic use), Dystonia (physiopathology), Dystonia (therapy), Humans, Muscle Relaxants, Central (therapeutic use), Physical Therapy Modalities.
- MESH :
- chemical , therapeutic use : Anti-Dyskinesia Agents, Baclofen, Botulinum Toxins, Cholinergic Antagonists, Dopamine Agents, Muscle Relaxants, Central.
- physiopathology : Dystonia.
- therapy : Dystonia.
- Disease Management, Humans, Physical Therapy Modalities.
Abstract
Medications such as anticholinergic drugs, dopamine modulators, baclofen, muscle relaxants, and other pharmacologic agents have been used for a long time to treat dystonia, but the introduction of botulinum toxin and deep brain stimulation clearly revolutionized the symptomatic treatment of this neurological movement disorder. Therapy of dystonia can be divided into the following categories: (1) physical, supportive, and ancillary therapy; (2) pharmacologic treatment; (3) chemodenervation with botulinum toxin; and (4) peripheral and central surgery (deep brain stimulation). Except in some cases of secondary dystonia, pathogenesis-targeted or disease-modifying therapy is currently not available. This review focuses on evidence-based medical treatment of dystonia, highlighting recent advances, with emphasis on individualized approach. © 2013 Movement Disorder Society.
DOI: 10.1002/mds.25552
PubMed: 23893456
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pubmed:23893456Le document en format XML
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<author><name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name>
<affiliation wicri:level="2"><nlm:affiliation>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX 77030, USA. josephj@bcm.edu</nlm:affiliation>
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<wicri:regionArea>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX 77030</wicri:regionArea>
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<author><name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name>
<affiliation wicri:level="2"><nlm:affiliation>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX 77030, USA. josephj@bcm.edu</nlm:affiliation>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Cholinergic Antagonists (therapeutic use)</term>
<term>Disease Management</term>
<term>Dopamine Agents (therapeutic use)</term>
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<term>Cholinergic Antagonists</term>
<term>Dopamine Agents</term>
<term>Muscle Relaxants, Central</term>
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<front><div type="abstract" xml:lang="en">Medications such as anticholinergic drugs, dopamine modulators, baclofen, muscle relaxants, and other pharmacologic agents have been used for a long time to treat dystonia, but the introduction of botulinum toxin and deep brain stimulation clearly revolutionized the symptomatic treatment of this neurological movement disorder. Therapy of dystonia can be divided into the following categories: (1) physical, supportive, and ancillary therapy; (2) pharmacologic treatment; (3) chemodenervation with botulinum toxin; and (4) peripheral and central surgery (deep brain stimulation). Except in some cases of secondary dystonia, pathogenesis-targeted or disease-modifying therapy is currently not available. This review focuses on evidence-based medical treatment of dystonia, highlighting recent advances, with emphasis on individualized approach. © 2013 Movement Disorder Society.</div>
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