RESUMO
OBJECTIVE: The aim of this article was to evaluate the effects of amisulpride on the behavioural and psychiatric symptoms of patients with Alzheimer's disease (AD). MATERIALS AND METHODS: In this open-label study, we observed 18 outpatients affected by moderate to severe AD, complicated with agitation and disruptive behaviours. Behavioural, cognitive and motor effects of amisulpride at baseline and after 12 weeks were rated by the Neuropsychiatric Inventory (NPI), Mini Mental State Examination, Clinical Dementia Rating Scale, activities of daily living, and the motor score of the Unified Parkinson's Disease Rating Scale. RESULTS: After treatment with amisulpride (200 mg/day), the patients showed a significant decrease in NPI total scores, particularly for the subitem 'agitation'. Cognitive and motor variables did not worsen significantly over the 12-week period. CONCLUSIONS: This preliminary observation suggests that amisulpride can be useful to control agitation and disruptive behaviours in AD patients without significantly effecting vigilance and motor activity.
Assuntos
Doença de Alzheimer/complicações , Antipsicóticos/administração & dosagem , Transtornos Mentais/tratamento farmacológico , Transtornos Mentais/etiologia , Sulpirida/análogos & derivados , Idoso , Idoso de 80 Anos ou mais , Agressão/efeitos dos fármacos , Doença de Alzheimer/psicologia , Amissulprida , Transtornos de Ansiedade/tratamento farmacológico , Transtornos de Ansiedade/etiologia , Transtornos de Ansiedade/psicologia , Nível de Alerta/efeitos dos fármacos , Cognição/efeitos dos fármacos , Feminino , Humanos , Humor Irritável/efeitos dos fármacos , Masculino , Transtornos Mentais/psicologia , Atividade Motora/efeitos dos fármacos , Testes Neuropsicológicos , Agitação Psicomotora/tratamento farmacológico , Agitação Psicomotora/etiologia , Agitação Psicomotora/psicologia , Esquizofrenia Paranoide/tratamento farmacológico , Esquizofrenia Paranoide/etiologia , Esquizofrenia Paranoide/psicologia , Sulpirida/administração & dosagem , Resultado do TratamentoRESUMO
Spontaneous intracranial hypotension is a well defined entity, however it is characterised by a relevant clinical heterogeneity. The main feature is orthostatic headache, often accompanied by other symptoms. The diagnosis is easily made in the presence of orthostatic headache, excluding an obvious aetiology of low cerebrospinal fluid (CSF) pressure, and often there is no evidence of direct or indirect CSF leak.