Different types of akathisia: clinical analysis on three cases

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...

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Main Authors: Lei WANG, Ming-yu WANG, Jin-long WU, Yun LI, Chi ZHONG
Format: Article
Language:English
Published: Tianjin Huanhu Hospital 2018-09-01
Series:Chinese Journal of Contemporary Neurology and Neurosurgery
Subjects:
Online Access:http://www.cjcnn.org/index.php/cjcnn/article/view/1842
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author Lei WANG
Ming-yu WANG
Jin-long WU
Yun LI
Chi ZHONG
author_facet Lei WANG
Ming-yu WANG
Jin-long WU
Yun LI
Chi ZHONG
author_sort Lei WANG
collection DOAJ
description 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.
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spelling doaj.art-b1ca4800df6543a0800d33c4e9d5a0742022-12-22T03:31:47ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312018-09-0118968869110.3969/j.issn.1672-6731.2018.09.0121797Different types of akathisia: clinical analysis on three casesLei WANG0Ming-yu WANG1Jin-long WU2Yun LI3Chi ZHONG4Department of Neurology, Weifang People's Hospital, Weifang 261000, Shandong, ChinaDepartment of Neurology, Weifang People's Hospital, Weifang 261000, Shandong, ChinaDepartment of Neurology, Yidu Central Hospital, Weifang 262500, Shandong, ChinaDepartment of Neurology, Weifang People's Hospital, Weifang 261000, Shandong, ChinaDepartment of Neurology, Weifang People's Hospital, Weifang 261000, Shandong, ChinaObjective 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.http://www.cjcnn.org/index.php/cjcnn/article/view/1842Psychomotor agitationAntipsychotic agents
spellingShingle Lei WANG
Ming-yu WANG
Jin-long WU
Yun LI
Chi ZHONG
Different types of akathisia: clinical analysis on three cases
Chinese Journal of Contemporary Neurology and Neurosurgery
Psychomotor agitation
Antipsychotic agents
title Different types of akathisia: clinical analysis on three cases
title_full Different types of akathisia: clinical analysis on three cases
title_fullStr Different types of akathisia: clinical analysis on three cases
title_full_unstemmed Different types of akathisia: clinical analysis on three cases
title_short Different types of akathisia: clinical analysis on three cases
title_sort different types of akathisia clinical analysis on three cases
topic Psychomotor agitation
Antipsychotic agents
url http://www.cjcnn.org/index.php/cjcnn/article/view/1842
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AT mingyuwang differenttypesofakathisiaclinicalanalysisonthreecases
AT jinlongwu differenttypesofakathisiaclinicalanalysisonthreecases
AT yunli differenttypesofakathisiaclinicalanalysisonthreecases
AT chizhong differenttypesofakathisiaclinicalanalysisonthreecases