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Titolo:
Akathisia masked by hypokinesia
Autore:
Tuisku, K; Lauerma, H; Holi, MM; Honkonen, T; Rimon, R;
Indirizzi:
Univ Helsinki, Dept Psychiat, FIN-00014 Helsinki, Finland Univ Helsinki Helsinki Finland FIN-00014 at, FIN-00014 Helsinki, Finland Univ Turku, Cent Hosp, Psychiat Clin, FIN-20520 Turku, Finland Univ TurkuTurku Finland FIN-20520 ychiat Clin, FIN-20520 Turku, Finland Mental Hosp Prisoners, Turku, Finland Mental Hosp Prisoners Turku Finland ntal Hosp Prisoners, Turku, Finland Paijat Hame Cent Hosp, Lahti, Finland Paijat Hame Cent Hosp Lahti Finland ijat Hame Cent Hosp, Lahti, Finland
Titolo Testata:
PHARMACOPSYCHIATRY
fascicolo: 4, volume: 33, anno: 2000,
pagine: 147 - 149
SICI:
0176-3679(200007)33:4<147:AMBH>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
NEUROLEPTIC-INDUCED AKATHISIA; DRUG-INDUCED AKATHISIA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Tuisku, K HKS Psykiatrian Klin, Lapinlahdentie, Helsinki 00180, Finland HKS Psykiatrian Klin Lapinlahdentie Helsinki Finland 00180 land
Citazione:
K. Tuisku et al., "Akathisia masked by hypokinesia", PHARMACOPS, 33(4), 2000, pp. 147-149

Abstract

Here, we will discuss the concept of subjective akathisia and present a patient case. Our patient was suffering from neuroleptic-induced hypokinesia and akathisia at the same time. The typical motor manifestations of akathisia were masked by hypokinesia, which made the diagnosis difficult. However,the subjective symptoms of akathisia were evident and distressing. Although not observable to bare eye, the pathognomonic pattern of motor activity detected in akathisia was demonstrated by actometric recording. Changing theconventional neuroleptic to an atypical one brought relief to the subjective symptoms of akathisia and hypokinesia, while the motor activity was clearly diminished in actometric recording. Actometric recording may be useful in diagnosing akathisia masked by hypokinesia, but the typical subjective symptoms of akathisia should not be ignored, even when actometry is not available to demonstrate the missing motor component of akathisia. Not only akathisia defined by DSM-IV but also subjective akathisia should be adequatelytreated to relieve the subjective distress, and to diminish the unfavorable effects on psychotic symptoms, behavior, and drug compliance.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/01/20 alle ore 16:27:04