Akathisia: causes, diseases and treatment

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AkathisiaAnxiety, restlessness and hyperkinesia qualify a person with this movement disorder. Causes, motor behavior and treatment of akathisia.

Neurology .- As the akinesia , akathisia is the manifestation of an extrapyramidal symptom (problem in dopaminergic neurotransmission). This motor disorder called akathisia is characterized by symptoms of anxiety attacks accompanied by restlessness and psychomotor problems. The person affected by this disorder is compelled psychomotor and feel the constant need to move, sit, stand, move, move your legs … the cause of akathisia is usually the use of neuroleptic drugs
How does a person akathisia?

Akathisia is not an expression of anxious type body. As mentioned, restlessness, inability to sit still and internal stress are characteristic of this movement disorder. Among the psychomotor manifestations of this disorder may be observed:

The motor restlessness. Involuntary, repetitive movements, rocking of the trunk …
Hyperactivity disorder, hyperactivity or hyperkinesis.
Motor or tasicinesia instability.
Dystonia , muscle contraction (twists, kinks, poor posture of the body).
Disorders of behavior and thought disorder (depression, hostility, suicidal tendencies).

What is the cause akathisia appears?

Today the exact cause of this instability drive.

“It tends to be the result of the use of treatment with neuroleptic drugs (both typical and atypical) of presynaptic monoamine deplectores like tetrabenazine and antidepressants such as selective inhibitors of serotonin reuptake” (EM Kahn 1992).

There are traces which suggest that dopaminergic neurons in the anterior segment area may be involved.
Some diseases associated with akathisia

Akathisia can occur in cases of:

EP (Parkinson’s disease). Depending on dopamine therapy used.
Schizophrenia . A psychotic disorder characterized by delusions, hallucinations, emotional imbalance or evasion of reality.
Restless Legs Syndrome. Disorder characterized by internal tensions and painful sensations in the legs.
Anxiety Disorders .
Withdrawal syndrome .

Treatment of akathisia

Lower doses or stop taking the drug is the usual treatment. If, despite the interruption of treatment is not noticeable improvement, there are other treatments that are commonly used two types of drugs, anticholinergic and antiadrenergic:

Clonidine (agonist alpha-2).
Anticholinergics (trihexyphenidyl).
Propranolol, benzodiazepines, or amantadine.

The cerebellum is the nerve center of the brain and its function is to control motor skills. Cerebellar disorders cause abnormalities in the amplitude, speed and power of movement.

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