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Therapeutischer Einsatz von Cannabinoiden bei neurologischen Erkrankungen

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Zusammenfassung

Der folgende Beitrag gibt eine Übersicht über therapeutische Einsatzmöglichkeiten von Cannabinoiden in der Neurologie. Dabei werden für die multiple Sklerose, die spastischen Querschnittsyndrome, die Epilepsie, die Bewegungsstörungen und die Neuroprotektion bei Schädel-Hirn-Trauma oder zerebraler Ischämie jeweils die Ergebnisse präklinischer Untersuchungen dargestellt, welche eine rationale Grundlage für eine klinische Erprobung von Cannabinoiden bilden. Anschließend werden die aktuell verfügbaren klinischen Daten (Fallberichte, offene und kontrollierte Studien) vorgestellt und kritisch bewertet. Insgesamt kann danach der systematische therapeutische Einsatz von Cannabinoiden auf der Basis der vorliegenden klinischen Daten bei keinem der genannten neurologischen Syndrome empfohlen werden. Für die Zukunft sind größere kontrollierte Studien erforderlich.

Abstract

This review gives insight into the potential therapeutical role of cannabinoids in neurology. Preclinical data are presented which could give a rationale for the clinical use of cannabinoids in the fields of multiple sclerosis, spasticity, epilepsy, movement disorders, and neuroprotection after traumatic head injury or ischemic stroke. Besides, clinical data (case reports, open-label and randomised controlled studies) dealing with the therapeutical use of cannabinoids in these fields are reported and discussed. At present, clinical data are insufficient to recommend the use of cannabinoids in any neurological disease as standard therapy. Several questions still have to be answered (which cannabinoid? which way of administration? stimulation of endogenous cannabinoids? separation between desired and undesired effects?), and controlled studies are still needed to clarify the potential therapeutical role of cannabinoids in neurology.

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  1. Neurologische Universitätsklinik, BG-Kliniken Bergmannsheil Bochum

    P. Schwenkreis & M. Tegenthoff

  2. Neurologische Universitätsklinik, BG-Kliniken Bergmannsheil, Bürkle-de-la-Camp-Platz 1, 44789 , Bochum

    P. Schwenkreis

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Schwenkreis, P., Tegenthoff, M. Therapeutischer Einsatz von Cannabinoiden bei neurologischen Erkrankungen. Schmerz 17, 367–373 (2003). https://doi.org/10.1007/s00482-003-0240-z

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