Reduction of dyskinesia and induction of akinesia induced by morphine in two parkinsonian patients with severe sciatica

J Neural Transm (Vienna). 1999;106(7-8):725-8. doi: 10.1007/s007020050192.

Abstract

In two patients with Parkinson's disease and L-Dopa induced dyskinesia we administered morphine orally to alleviate lumboradicular pain unresponsive to any other form of treatment. Besides an alleviation of the pain both patients showed a decrease in dyskinetic movements at very low doses of morphine and an increase in akinesia at higher doses. This observation indicates a modulation of basal ganglia output by morphine with the possibility of reducing L-Dopa induced dyskinesia in patients treated with morphine for pain.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Analgesics, Opioid / therapeutic use*
  • Antiparkinson Agents / adverse effects
  • Dyskinesia, Drug-Induced / drug therapy*
  • Humans
  • Hypokinesia / chemically induced
  • Intervertebral Disc Displacement / complications
  • Levodopa / adverse effects
  • Lumbar Vertebrae
  • Male
  • Middle Aged
  • Morphine / therapeutic use*
  • Parkinson Disease / drug therapy*
  • Sciatica / drug therapy*

Substances

  • Analgesics, Opioid
  • Antiparkinson Agents
  • Levodopa
  • Morphine