THE MOTOR RESPONSE TO SEQUENTIAL APOMORPHINE IN PARKINSONIAN FLUCTUATIONS

被引:42
作者
HUGHES, AJ
LEES, AJ
STERN, GM
机构
[1] MIDDLESEX HOSP,SCH MED,DEPT NEUROL,LONDON W1N 8AA,ENGLAND
[2] UNIV COLL HOSP LONDON,SCH MED,DEPT NEUROL,WC1 LONDON,ENGLAND
关键词
D O I
10.1136/jnnp.54.4.358
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Fifteen patients with Parkinson's disease and levodopa-induced motor fluctuations, were studied with repeated injections of apomorphine using two protocols to explore possible changes in the duration of motor response. One involved different interdose intervals; in the other, doses were given when the motor effects induced by the previous dose had just worn off. No significant change in the duration of motor response to sequential subcutaneous apomorphine with either protocol was found. The results suggest that rapid changes in receptor sensitivity during repeated intermittent dopaminergic stimulation do not contribute to the pathogenesis of Parkinsonian motor fluctuations.
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页码:358 / 360
页数:3
相关论文
共 10 条
[1]   INCREASED OR DECREASED LOCOMOTOR RESPONSE IN RATS FOLLOWING REPEATED ADMINISTRATION OF APOMORPHINE DEPENDS ON DOSAGE INTERVAL [J].
CASTRO, R ;
ABREU, P ;
CALZADILLA, CH ;
RODRIGUEZ, M .
PSYCHOPHARMACOLOGY, 1985, 85 (03) :333-339
[2]  
FRANKEL JP, IN PRESS J NEUROL NE
[3]   PERIPHERAL PHARMACOKINETICS OF APOMORPHINE IN HUMANS [J].
GANCHER, ST ;
WOODWARD, WR ;
BOUCHER, B ;
NUTT, JG .
ANNALS OF NEUROLOGY, 1989, 26 (02) :232-238
[4]   DIURNAL RESPONSIVENESS TO APOMORPHINE [J].
GANCHER, ST ;
NUTT, JG .
NEUROLOGY, 1987, 37 (07) :1250-1253
[5]  
GRANDAS F, 1989, Neurology, V39, P365
[6]   MOTOR RESPONSE FOLLOWING REPEATED APOMORPHINE ADMINISTRATION IS REDUCED IN PARKINSONS-DISEASE [J].
GRANDAS, F ;
OBESO, JA .
CLINICAL NEUROPHARMACOLOGY, 1989, 12 (01) :14-22
[7]   LEVODOPA PERIPHERAL PHARMACOKINETICS AND DURATION OF MOTOR RESPONSE IN PARKINSONS-DISEASE [J].
KEMPSTER, PA ;
FRANKEL, JP ;
BOVINGDON, M ;
WEBSTER, R ;
LEES, AJ ;
STERN, GM .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1989, 52 (06) :718-723
[8]   ON-OFF EFFECTS IN PATIENTS WITH PARKINSONS-DISEASE ON CHRONIC LEVODOPA THERAPY [J].
MARSDEN, CD ;
PARKES, JD .
LANCET, 1976, 1 (7954) :292-296
[9]  
SHAW KM, 1980, Q J MED, V49, P283
[10]   LEVODOPA CONSUMPTION REDUCES DOPAMINERGIC RECEPTOR RESPONSIVENESS IN PARKINSONS-DISEASE [J].
VAAMONDE, J ;
LUQUIN, MR ;
OBESO, JA .
CLINICAL NEUROPHARMACOLOGY, 1989, 12 (04) :271-284