パーキンソン病の幻視・体感幻覚に抑肝散で臨床的な改善がみられた症例(神経内科学教室岩田誠教授退任記念特別号)

• 資料種別: 記事
• タイトル: パーキンソン病の幻視・体感幻覚に抑肝散で臨床的な改善がみられた症例(神経内科学教室岩田誠教授退任記念特別号)
• 著者標目: 小林, 正樹; 飯嶋, 睦; 清水, 優子; 内山, 真一郎; 猪瀬, 悠理; 岩田, 誠
• 出版年月日等: 2008-02-25
• 出版年（W3CDTF）: 2008-02-25
• 並列タイトル等: A Case Report of Parkinson's Disease, in Whom Yokukansan Was Effective on Visual Hallucination and Cenesthopathy(Special Issue in Hornor of the Retirement of Professor Makoto Iwata at the Department of Neurology, Tokyo Women's Medical University)
• タイトル（掲載誌）: 東京女子医科大学雑誌
• 巻号年月日等（掲載誌）: 78 Extra
• 掲載巻: 78
• 掲載号: Extra
• 掲載ページ: E203-E206
• 掲載年月日（W3CDTF）: 2008-02-25
• ISSN（掲載誌）: 00409022
• 出版事項（掲載誌）: 東京女子医科大学学会
• 本文の言語コード: ja
• 件名標目: Parkinson's disease; visual hallucination; cenesthopathy; single-photon emission computed tomography (SPECT); Yokukansan
• 対象利用者: 一般
• 作成日（W3CDTF）: 2010-08-10
• 関連情報（URI）: http://hdl.handle.net/10470/27768; https://twinkle.repo.nii.ac.jp/records/20469
• 連携機関・データベース: 国立情報学研究所 : CiNii Research; https://cir.nii.ac.jp/
• 提供元機関・データベース: 学術機関リポジトリデータベース; https://irdb.nii.ac.jp

• 要約等: Between 20% and 45% of the patient with Parkinson's disease (PD) have hallucination in their lives, and most of them are visual. We have a 68-year-old female patient with PD lasting for 20 years and she has peculiar cenesthopathy and visual hallucination. She has been taking levodopa/carbidopa, pergolide and cabergoline. Since 2004, she has had visual hallucinations of people and insects, as well as cenesthopathy that Manta ray was sticking on her back. Her consciousness was alert and she had not dementia. Single-photon emission computed tomography (SPECT) shows the decreasing uptaking of HM-PAO in left parietal robe and bilateral occipital robe. As for her treatment, we replaced the dopamine agonist cabergoline with pramipexole, in order to prevent the excessive buildup of dopamine. She also started Yokukansan at 2.5 g/day and up to 7.5 g/day. The frequency of hallucinations was reduced from 50% to 25% of the time she was awake. We concluded that Yokukansan is effectivw for hallucination in PD.
• オンライン閲覧公開範囲: インターネット公開
• 掲載誌（NCID）: AN00161368; https://ci.nii.ac.jp/ncid/AN00161368
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 東京女子医科大学 : 東京女子医科大学学術リポジトリ Twinkle