Marked amelioration of alcohol‐responsive posthypoxic myoclonus by γ‐hydroxybutyric acid (Xyrem)
Identifieur interne : 003854 ( Main/Exploration ); précédent : 003853; suivant : 003855Marked amelioration of alcohol‐responsive posthypoxic myoclonus by γ‐hydroxybutyric acid (Xyrem)
Auteurs : Steven J. Frucht [États-Unis] ; Yvette Bordelon [États-Unis] ; William H. Houghton [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2005-06.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Alcool.
English descriptors
- KwdEn :
- Adult, Alcohol, Central Nervous System Depressants (administration & dosage), Dose-Response Relationship, Drug, Ethanol (administration & dosage), Evaluation scale, Female, Humans, Hydroxybutyrates (therapeutic use), Hypoxia, Myoclonus, Myoclonus (drug therapy), Nervous system diseases, Neurologic Examination, Psychomotor Performance (drug effects), Severity of Illness Index, Sodium oxybate, Treatment Outcome, Xyrem, gamma‐hydroxybutyric acid, hypoxia, myoclonus, rating scale.
- MESH :
- chemical , administration & dosage : Central Nervous System Depressants, Ethanol.
- chemical , therapeutic use : Hydroxybutyrates.
- drug effects : Psychomotor Performance.
- drug therapy : Myoclonus.
- Adult, Dose-Response Relationship, Drug, Female, Humans, Neurologic Examination, Severity of Illness Index, Treatment Outcome.
Abstract
We conducted an open‐label, dose‐finding, blinded‐rating trial of γ‐hydroxybutyric acid (Xyrem) in a single patient with severe alcohol‐responsive posthypoxic myoclonus refractory to treatment with standard antimyoclonic agents. Xyrem was given in divided doses during the day and was well tolerated. Intensity of myoclonus was measured using the Unified Myoclonus Rating Scale, and blinded videotape review demonstrated complete resolution of myoclonus at rest and stimulus‐sensitive myoclonus. Action myoclonus and functional performance also improved in ways that were practically meaningful, allowing her to feed herself, to accomplish daily hygiene tasks, and to walk with assistance. The possible mechanisms of action and potential uses of this agent in other alcohol‐responsive movement disorders are discussed. © 2005 Movement Disorder Society
Url:
DOI: 10.1002/mds.20452
Affiliations:
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Le document en format XML
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<term>Evaluation scale</term>
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<term>Hydroxybutyrates (therapeutic use)</term>
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<term>Myoclonus (drug therapy)</term>
<term>Nervous system diseases</term>
<term>Neurologic Examination</term>
<term>Psychomotor Performance (drug effects)</term>
<term>Severity of Illness Index</term>
<term>Sodium oxybate</term>
<term>Treatment Outcome</term>
<term>Xyrem</term>
<term>gamma‐hydroxybutyric acid</term>
<term>hypoxia</term>
<term>myoclonus</term>
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<term>Oxybate sodium</term>
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<front><div type="abstract" xml:lang="en">We conducted an open‐label, dose‐finding, blinded‐rating trial of γ‐hydroxybutyric acid (Xyrem) in a single patient with severe alcohol‐responsive posthypoxic myoclonus refractory to treatment with standard antimyoclonic agents. Xyrem was given in divided doses during the day and was well tolerated. Intensity of myoclonus was measured using the Unified Myoclonus Rating Scale, and blinded videotape review demonstrated complete resolution of myoclonus at rest and stimulus‐sensitive myoclonus. Action myoclonus and functional performance also improved in ways that were practically meaningful, allowing her to feed herself, to accomplish daily hygiene tasks, and to walk with assistance. The possible mechanisms of action and potential uses of this agent in other alcohol‐responsive movement disorders are discussed. © 2005 Movement Disorder Society</div>
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