Different types of akathisia: clinical analysis on three cases

Chinese Journal of Contemporary Neurology and Neurosurgery

Ming-yu WANG¹  Lei WANG¹  Yun LI¹  Chi ZHONG¹  Jin-long WU² 

[1] Department of Neurology, Weifang People's Hospital, Weifang 261000, Shandong, China;Department of Neurology, Yidu Central Hospital, Weifang 262500, Shandong, China;

关键词: Psychomotor agitation;    Antipsychotic agents;   

DOI  :  10.3969/j.issn.1672-6731.2018.09.012

来源: DOAJ

【 摘 要 】

Objective To explore the clinical presentations, probable pathogenesis and therapy of different types of akathisia. Methods and Results There were 3 cases of akathisia in this report. The diagnosis of Case 1 was acute akathisia, drug-induced parkinsonism, and iron-deficiency anemia, and the symptoms were relieved after the patient stopped taking olanzapine and was treated with propranolol, alprazolam, benzhexol and iron supplementation. The diagnosis of Case 2 was tardive akathisia and tardive dyskinesia. After risperidone was gradually reduced and alprazolam was added, the symptoms were improved. The diagnosis of Case 3 was akathisia in Parkinson's disease (PD). After alprazolam and propranolol were added, while anti-PD drugs (levodopa and benserazide, selegiline and pramipexole) continued to be applied, the symptoms were alleviated. Conclusions When akathisia is treated, its type should be distinguished firstly, and then the treatment should be given according to different types.

【 授权许可】

Unknown