Die moderne medikamentöse Behandlung des Parkinsonismus
Identifieur interne : 000638 ( Main/Corpus ); précédent : 000637; suivant : 000639Die moderne medikamentöse Behandlung des Parkinsonismus
Auteurs : W. Birkmayer ; E. NeumayerSource :
- Zeitschrift für Neurologie [ 0012-1037 ] ; 1972-12-01.
Abstract
Summary: Evolution, procedure, results and side effects of modern anti-Parkinson treatment are reported. A notable decrease of dopamin, serotonin and norepinephrin in the brainstem of Parkinson patients suggested a substitution of the precursors of these biogenic amines. The administration of L-DCPA effected an improvement in the akinesia for a short time only. A combination of l-DOPA with a decarboxylase inhibitor (Ro4-4602) produced a more intensive effect over a longer period. Similar results were achieved by high oral dosages, accompanied, however, by marked side effects. The autonomic motor and psychogenic side effects are reported. The DOPA-psychoses are caused by the depletion of serotonin after l-DOPA administration. Raised levels of 5-Hydroxyacetic acid were observed in the C.S.F. of psychotic patients. After administration of l-tryptophan the high values of 5 HIAA fell and the patients showed normal behaviour.
Url:
DOI: 10.1007/BF00316175
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<front><div type="abstract" xml:lang="en">Summary: Evolution, procedure, results and side effects of modern anti-Parkinson treatment are reported. A notable decrease of dopamin, serotonin and norepinephrin in the brainstem of Parkinson patients suggested a substitution of the precursors of these biogenic amines. The administration of L-DCPA effected an improvement in the akinesia for a short time only. A combination of l-DOPA with a decarboxylase inhibitor (Ro4-4602) produced a more intensive effect over a longer period. Similar results were achieved by high oral dosages, accompanied, however, by marked side effects. The autonomic motor and psychogenic side effects are reported. The DOPA-psychoses are caused by the depletion of serotonin after l-DOPA administration. Raised levels of 5-Hydroxyacetic acid were observed in the C.S.F. of psychotic patients. After administration of l-tryptophan the high values of 5 HIAA fell and the patients showed normal behaviour.</div>
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