This title appears in the Scientific Report :
2009
Please use the identifier:
http://dx.doi.org/10.1016/j.ocn.2008.02.015 in citations.
Transdermal dopaminergic stimulation with rotigotine in Parkinsonian akinetic crisis
Transdermal dopaminergic stimulation with rotigotine in Parkinsonian akinetic crisis
Akinetic crisis (AC) is a much-feared complication of Parkinson's disease (PD) which may appear upon abrupt cessation or malabsorption of dopaminergic medication due to gastrointestinal tract disorders or acute surgery. Intravenous infusion of amantadine sulphate or subcutaneous administration...
Saved in:
Personal Name(s): | Dafotakis, M. |
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Sparing, R. / Juzek, A. / Block, F. / Kosinski, C. M. | |
Contributing Institute: |
Kognitive Neurowissenschaften; INM-3 |
Published in: | Journal of clinical neuroscience, 16 (2009) S. 335 - 337 |
Imprint: |
Burlington, Mass.
Harcourt
2009
|
Physical Description: |
335 - 337 |
DOI: |
10.1016/j.ocn.2008.02.015 |
Document Type: |
Journal Article |
Research Program: |
Funktion und Dysfunktion des Nervensystems |
Series Title: |
Journal of Clinical Neuroscience
16 |
Subject (ZB): | |
Publikationsportal JuSER |
Akinetic crisis (AC) is a much-feared complication of Parkinson's disease (PD) which may appear upon abrupt cessation or malabsorption of dopaminergic medication due to gastrointestinal tract disorders or acute surgery. Intravenous infusion of amantadine sulphate or subcutaneous administration of apomorphine are established treatment strategies for AC. We speculate whether the use of a non-invasive transdermal application form (patch) of a dopaminergic drug (rotigotine) may represent a useful alternative treatment option. We describe the successful treatment of severe AC using rotigotine in a PD patient with gastro-oesophageal ulcers which precluded administration of any oral medication. This case demonstrates that a rotigotine patch might be effective in the treatment of AC. We suggest that rotigotine may represent a useful treatment option due to its favourable receptor pro. le and unique application form. In particular, it may be helpful in situations that might provoke AC, such as acute surgery. However, experience of the use of the rotigotine patch in this clinical setting is rather sparse and the patch is currently not approved for this indication. (C) 2008 Elsevier Ltd. All rights reserved. |