항정신병제의 복용은 하지불안증후군의 위험 요소인가?

Background: Restless-legs syndrome (RLS) is known to be caused by dopaminergic hypofunction in the brain. We investigated whether antipsychotics that act as antidopaminergics increase the risk of RLS. Methods: We prospectively recruited 72 schizophrenic patients who had been medicated with antipsych...

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Published inTaehan Singyŏngkwa Hakhoe chi pp. 49 - 53
Main Authors 남현우, 조진환, 차정인, 정희연, 홍윤호
Format Journal Article
LanguageKorean
Published 대한신경과학회 01.02.2009
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Abstract Background: Restless-legs syndrome (RLS) is known to be caused by dopaminergic hypofunction in the brain. We investigated whether antipsychotics that act as antidopaminergics increase the risk of RLS. Methods: We prospectively recruited 72 schizophrenic patients who had been medicated with antipsychotic drugs in a psychiatry clinic. We evaluated RLS diagnostic criteria and basic sleep habits using the Epworth Sleepiness Scale and Pittsburgh Sleep Quality Index by face-to-face interviews using a structured questionnaire. We also applied the Unified Parkinson’s Disease Rating Scale to evaluate extrapyramidal symptoms. Results: Three of the 72 patients (4.2%) met RLS criteria, which is similar to the previously reported RLS incidence among the general population in Korea. Conclusions: There is no evidence that antipsychotics increase the risk of RLS. We believe that the mild antidopaminergic effect of antipsychotics does not overwhelm their prominent antipsychotic effect. KCI Citation Count: 0
AbstractList Background: Restless-legs syndrome (RLS) is known to be caused by dopaminergic hypofunction in the brain. We investigated whether antipsychotics that act as antidopaminergics increase the risk of RLS. Methods: We prospectively recruited 72 schizophrenic patients who had been medicated with antipsychotic drugs in a psychiatry clinic. We evaluated RLS diagnostic criteria and basic sleep habits using the Epworth Sleepiness Scale and Pittsburgh Sleep Quality Index by face-to-face interviews using a structured questionnaire. We also applied the Unified Parkinson’s Disease Rating Scale to evaluate extrapyramidal symptoms. Results: Three of the 72 patients (4.2%) met RLS criteria, which is similar to the previously reported RLS incidence among the general population in Korea. Conclusions: There is no evidence that antipsychotics increase the risk of RLS. We believe that the mild antidopaminergic effect of antipsychotics does not overwhelm their prominent antipsychotic effect. KCI Citation Count: 0
Author 정희연
남현우
차정인
홍윤호
조진환
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  fullname: 정희연
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  fullname: 홍윤호
  organization: (서울대학교)
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DocumentTitleAlternate Is Antipsychotic Intake a Risk Factor for the Restless Legs Syndrome?
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Title 항정신병제의 복용은 하지불안증후군의 위험 요소인가?
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