Yonsei Med J.  1988 Mar;29(1):62-65. 10.3349/ymj.1988.29.1.62.

Sulpiride in Meige's Syndrome: Possible Role of Glutamate

Affiliations
  • 1Department of Neurology, Yonsei University College of Medicine, Korea.
  • 2Department of Internal Medicine, College of Medicine, Ewha University, Seoul, Korea.

Abstract

Sulpiride, a selective antagonist for adenylate cyclase-independent dopamine receptors, was administrated to 25 patients with blepharospasm and oromandibular dystonia(Meige's syndrome). Of the 25, 7 patients (28%) exhibited marked and lasting improvement with sulpiride and 12 patients (48%) showed mild or transient improvement. This favorable therapeutic response to sulpiride suggests that striatal glutamate underactivity may play a role in the pathophysiology of Meige's syndrome as a primary or secondary defect.

Keyword

Meige's syndrome; sulpiride; glutamate

MeSH Terms

Adult
Aged
Basal Ganglia Diseases/*drug therapy
Corpus Striatum/metabolism
Dopamine/metabolism
Female
Glutamates/metabolism
Glutamic Acid
Human
Male
Meige Syndrome/*drug therapy/metabolism
Middle Age
Sulpiride/*therapeutic use
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