A Case of Vascular Parkinsonism Treated Mainly at His Home with Thyrotropin-Releasing Hormone(TRH).

VernacularTitle:在宅管理でＴＲＨ（ヒルトニン）が有効であった脳血管性パーキンソニズムの一例
Author: Kazuhisa KOBAYASHI ; Aiko KASHIWAGI ; Takenao IDESAWA ; Takeshi KANAI ; Ichiro TAKAYAMA ; Fumiaki KITAHARA ; Yoshioki YODA ; Zenji SHIOZAWA
Publication Type:Journal Article
From:Journal of the Japanese Association of Rural Medicine 1997;46(2):178-183
CountryJapan
Language:Japanese
Abstract: We report a case of vascular parkinsonism mainly treated at the patients' home with thyrotropin-releasing hormone (TRH). The patient was a 77-year-old male who had an attack of cerebral bleeding in the left posterior lobe in 1990. Thereafter, dysarthria, dysphagia and gait disturbance gradually developed. He had rigidity in the neck, and upper and lower extremities, but no tremor, and walked with short strides (marche a petit pas). We diagnosed the case as vascular parkinsonism, by his history and those symptomes.
We treated him mainly at his home since 1994. At first, we used combinations of levodopa, bromocriptine, amantadin, and anti-chorinergic drugs, but symptomes and signs of vascular parkinsonism did not disappear.
Finally, we used TRH 0.5 mg by an intravenous or intramuscular injection for 10-14 days a month. Thereafter, he became able to eat, speak and walk a little more, and we continued this therapy for about one year. He died in 1996 of asphyxia at a meal. We think TRH was effective for chronic stage of vascular parkinsonism even if treated at home.