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Titolo:
AKATHISIA
Autore:
BRUNE M; BRAUNIG P;
Indirizzi:
RUHR UNIV BOCHUM,ZENTRUM PSYCHIAT & PSYCHOTHERAPIE,ALEXANDRINENSTR 1-3 D-44791 BOCHUM GERMANY RUHR UNIV BOCHUM,ZENTRUM PSYCHIAT & PSYCHOTHERAPIE D-44791 BOCHUM GERMANY
Titolo Testata:
Fortschritte der Neurologie, Psychiatrie
fascicolo: 9, volume: 65, anno: 1997,
pagine: 396 - 406
SICI:
0720-4299(1997)65:9<396:A>2.0.ZU;2-R
Fonte:
ISI
Lingua:
GER
Soggetto:
NEUROLEPTIC-INDUCED AKATHISIA; DRUG-INDUCED AKATHISIA; IDIOPATHIC PARKINSONS-DISEASE; TARDIVE-DYSKINESIA; CHRONIC-SCHIZOPHRENIA; INPATIENT POPULATION; RATING-SCALE; CLOZAPINE; PSEUDOAKATHISIA; HALOPERIDOL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
80
Recensione:
Indirizzi per estratti:
Citazione:
M. Brune e P. Braunig, "AKATHISIA", Fortschritte der Neurologie, Psychiatrie, 65(9), 1997, pp. 396-406

Abstract

The syndrome of akathisia typically consists of a subjective component, e. g. inner restlessness and an urge to move, and observable symptoms such as restless legs and inability to sit still. In most cases akathisia is caused by neuroleptics. There are several subtypes of akathisia according to the time of onset in the course of neuroleptic treatment. In clinical routine extrapyramidal motor disturbances are often underestimated or misinterpreted. As far as akathisia is concerned, differential diagnosis of restlessness or of repetitive movement patternsmay be problematic. Non-compliance and impulsive behaviour are regarded as possible complications of akathisia, but systematic investigations are lacking. The pathophysiology of akathisia is not clear, but it probably differs from other pharmacologically induced motor disturbances. If warrantable, the first step in akathisia treatment is dose-reduction of the causing agent. Anticholinergic drugs, benzodiazepines, and beta-receptor blockers may be effective. Clinical assessment and survey of the patient's behaviour, e.g. during occupational therapy and group therapy is important for an early diagnosis of akathisia so that complications may be minimised.

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Documento generato il 19/01/20 alle ore 09:27:43