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Yıl:2021; Cilt: 58; Sayı: 3>> Özet
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Nöropsikiyatri Arşivi; 2021;58(3):253-254
Parkinson Hastalığında Dopamin Agonisti İlişkili Hıçkırık: Olgu Sunumu
AS Emekli, HA Hanağası
İstanbul Üniversitesi, İstanbul
Hıçkırık, glottisin ani kapanması sonrasında interkostal kaslar ve diyaframın ani ve istemsiz kasılması olarak tarif edilmektedir. Kortikosteroidler, benzodiyazepinler ve antibiyotikler ilaç ilişkili hıçkırıklara sebep olabilir. Dopamin agonisti ile ilişkili hıçkırıklar az sayıda Parkinson Hastalığı (PH) tanılı hastada bildirilmiştir. Burada, iki farklı dopamin agonisti ile ciddi hıçkırıkları olan fakat Levodopa ile hıçkırığı olmayan, PH tanılı bir hasta bildirilmektedir. Bu bilgi PH tedavisinin yönetilmesine ve gereksiz tanısal işlemlerden kaçınılmasına yardımcı olabilir.
Dopamine Agonist-Associated Hiccup in Parkinson’s Disease: A Case Report
Hiccup is described as the sudden involuntary contraction of the diaphragm, and the intercostal muscles followed by the immediate closure of the glottis. Corticosteroids, benzodiazepines, and antibiotics may cause drug-induced hiccups. Dopamine agonist-induced hiccups were reported in patients diagnosed with Parkinson’s Disease (PD) in small number of cases. Here we report a patient diagnosed with PD who had severe hiccups with the use of two dopamine agonists in treatment, however hiccup was not reported with the use of Levodopa. This information may help to manage the treatment of PD, and avoid the unnecessary diagnostic procedures.

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