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Orobuccal dyskinesia associated with trihexyphenidyl therapy in a patient with parkinson's disease

✍ Scribed by Robert A. Hauser; Dr. C. W. Olanow


Publisher
John Wiley and Sons
Year
1993
Tongue
English
Weight
284 KB
Volume
8
Category
Article
ISSN
0885-3185

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✦ Synopsis


Abstract

Dyskinesia is a common adverse effect complicating chronic dopaminergic therapy for Parkinson's disease. Movements are frequently choreic in nature and have been ascribed to overstimulation of β€œsupersensitive” striatal postsynaptic dopamine receptors. Anticholinergic medications, despite some clinical efficacy in Parkinson's disease, have rarely been reported to cause dyskinesia. We report a patient with Parkinson's disease who developed orobuccal dyskinesia while being treated with trihexyphenidyl (Artane). Dyskinesia was observed following the introduction of trihexyphenidyl, resolved with its discontinuation, and reappeared with its reinstitution. Carbidopa‐levodopa (Sinemet) alone did not cause dyskinesia but augmented dyskinesia associated with trihexyphenidyl.


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