Influence of cholinergic system on myoclonus in myoclonic epilepsies.
Identifieur interne : 001456 ( Ncbi/Curation ); précédent : 001455; suivant : 001457Influence of cholinergic system on myoclonus in myoclonic epilepsies.
Auteurs : I. Rektor [Tchécoslovaquie] ; M. Svejdová ; C. Silva-Barrat ; C. MeniniSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1992.
English descriptors
- KwdEn :
- Adolescent, Adult, Atropine (diagnostic use), Cerebral Cortex (drug effects), Cerebral Cortex (physiopathology), Cholinergic Fibers (drug effects), Cholinergic Fibers (physiology), Dose-Response Relationship, Drug, Electroencephalography (drug effects), Electromyography (drug effects), Epilepsies, Myoclonic (physiopathology), Female, Humans, Male, Middle Aged, Physostigmine (diagnostic use), Receptors, Cholinergic (drug effects), Receptors, Cholinergic (physiology), Single-Blind Method.
- MESH :
- chemical , diagnostic use : Atropine, Physostigmine.
- drug effects : Cerebral Cortex, Cholinergic Fibers, Electroencephalography, Electromyography, Receptors, Cholinergic.
- physiology : Cholinergic Fibers, Receptors, Cholinergic.
- physiopathology : Cerebral Cortex, Epilepsies, Myoclonic.
- Adolescent, Adult, Dose-Response Relationship, Drug, Female, Humans, Male, Middle Aged, Single-Blind Method.
Abstract
The effect of two drugs upon multifocal myoclonic jerks was evaluated. The drugs influence the central cholinergic system in opposite ways. Eight patients with progressive and nonprogressive myoclonic epilepsy were tested. The single blind test was used. The number of myoclonic jerks after intravenous physostigmine (mean dose 0.02 mg/kg) and that after atropine (0.04 mg/kg) was compared to number of myoclonic jerks in the drug-free periods and with placebo. Placebo was without an effect. Physostigmine slightly increased the number of jerks. Atropine decreased the number significantly. In most patients the results were not striking. It is suggested that the cholinergic system may participate in the physiopathology of the studied myoclonus in a rather indirect, perhaps modulating way.
DOI: 10.1002/mds.870070306
PubMed: 1620139
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pubmed:1620139Le document en format XML
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<affiliation wicri:level="3"><nlm:affiliation>Clinic of Neurology, Masaryk University, Brno, Czechoslovakia.</nlm:affiliation>
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<wicri:regionArea>Clinic of Neurology, Masaryk University, Brno</wicri:regionArea>
<placeName><settlement type="city">Brno</settlement>
<region>Moravie</region>
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<author><name sortKey="Svejdova, M" sort="Svejdova, M" uniqKey="Svejdova M" first="M" last="Svejdová">M. Svejdová</name>
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<author><name sortKey="Silva Barrat, C" sort="Silva Barrat, C" uniqKey="Silva Barrat C" first="C" last="Silva-Barrat">C. Silva-Barrat</name>
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<author><name sortKey="Menini, C" sort="Menini, C" uniqKey="Menini C" first="C" last="Menini">C. Menini</name>
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<affiliation wicri:level="3"><nlm:affiliation>Clinic of Neurology, Masaryk University, Brno, Czechoslovakia.</nlm:affiliation>
<country xml:lang="fr">Tchécoslovaquie</country>
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<author><name sortKey="Svejdova, M" sort="Svejdova, M" uniqKey="Svejdova M" first="M" last="Svejdová">M. Svejdová</name>
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<author><name sortKey="Silva Barrat, C" sort="Silva Barrat, C" uniqKey="Silva Barrat C" first="C" last="Silva-Barrat">C. Silva-Barrat</name>
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<author><name sortKey="Menini, C" sort="Menini, C" uniqKey="Menini C" first="C" last="Menini">C. Menini</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Adult</term>
<term>Atropine (diagnostic use)</term>
<term>Cerebral Cortex (drug effects)</term>
<term>Cerebral Cortex (physiopathology)</term>
<term>Cholinergic Fibers (drug effects)</term>
<term>Cholinergic Fibers (physiology)</term>
<term>Dose-Response Relationship, Drug</term>
<term>Electroencephalography (drug effects)</term>
<term>Electromyography (drug effects)</term>
<term>Epilepsies, Myoclonic (physiopathology)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Physostigmine (diagnostic use)</term>
<term>Receptors, Cholinergic (drug effects)</term>
<term>Receptors, Cholinergic (physiology)</term>
<term>Single-Blind Method</term>
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<term>Physostigmine</term>
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<keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Cerebral Cortex</term>
<term>Cholinergic Fibers</term>
<term>Electroencephalography</term>
<term>Electromyography</term>
<term>Receptors, Cholinergic</term>
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<term>Receptors, Cholinergic</term>
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<term>Epilepsies, Myoclonic</term>
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<term>Adult</term>
<term>Dose-Response Relationship, Drug</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
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<front><div type="abstract" xml:lang="en">The effect of two drugs upon multifocal myoclonic jerks was evaluated. The drugs influence the central cholinergic system in opposite ways. Eight patients with progressive and nonprogressive myoclonic epilepsy were tested. The single blind test was used. The number of myoclonic jerks after intravenous physostigmine (mean dose 0.02 mg/kg) and that after atropine (0.04 mg/kg) was compared to number of myoclonic jerks in the drug-free periods and with placebo. Placebo was without an effect. Physostigmine slightly increased the number of jerks. Atropine decreased the number significantly. In most patients the results were not striking. It is suggested that the cholinergic system may participate in the physiopathology of the studied myoclonus in a rather indirect, perhaps modulating way.</div>
</front>
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