DBS for Tardive Syndrome
Morigaki, Ryoma Tokushima University Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Kaji, Ryuji Tokushima University Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Nagahiro, Shinji Tokushima University Tokushima University Educator and Researcher Directory KAKEN Search Researchers
deep brain stimulation
globus pallidus internus
abnormal involuntary movements
Tardive syndrome (TDS) is a potentially permanent and irreversible hyperkinetic movement disorder caused by exposure to dopamine receptor blocking agents. Guidelines published by the American Academy of Neurology recommend pharmacological first-line treatment for TDS with clonazepam (level B), ginkgo biloba (level B), amantadine (level C), and tetrabenazine (level C). Recently, a class II study provided level C evidence for use of deep brain stimulation (DBS) of the globus pallidus internus (GPi) in patients with TDS. Although the precise pathogenesis of TDS remains to be elucidated, the beneficial effects of GPi-DBS in patients with TDS suggest that the disease may be a basal ganglia disorder. In addition to recent advances in understanding the pathophysiology of TDS, this article introduces the current use of DBS in the treatment of medically intractable TDS.
Frontiers in Psychiatry
Frontiers Media S.A.
© 2016 Morigaki, Mure, Kaji, Nagahiro and Goto. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY)(https://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
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