Psychosis associated with Parkinson's disease is a very heterogeneous clinical unit. Is there any inherent link between visual hallucinations in the case of dementia in Parkinson's disease (which could be interpreted also as behavioral and psychological symptoms of dementia?), hallucinations and delusions induced by dopaminergic therapy or chronic paranoid psychosis in the context of deep brain stimulation of the nucleus subthalamicus? Can not Parkinson's disease associated psychosis be rather a non-motoric sign of Parkinson's disease or it´s complication (as we understood it in the past) as a modern pseudonosological unit, which etiopathogenesis is so unclear and multifactorial?
Dear Michal! The conclusion of your question contains the beginning of the answer to your question. Both factors matter. Drugs have side effects that manifest themselves in the symptoms that you have outlined. On the other hand, the defeat of the subcortical nuclei and other parts of the brain in Parkinsonism is accompanied by both motor and autonomic and cognitive disorders. These pathological processes are expressed in varying degrees in patients. Why? Because each person is individual in a functional aspect and pathological processes in the body of each person develop depending on this individuality. All the best,
Vladimir
I agree, thank you for your answer! But, in my opinion, the cases I have listed are not etiopathogenetically and psychopathologically comparable. These are like different psychoses, although they all develop in the context of Parkinson's disease. Can we not see them as a psychosis in plural rather than a concept of unitary psychosis? Their difference is also reflected in a different therapeutic approach. Treatment-induced psychosis is treated by the reduction of antiparkinsonian medication, stimulation-induced psychosis by modulation of stimulation parameters, and psychosis in PDD by IAChE.
Is important time of onset of psychotic manifestations in a patient with diagnosis of Parkinson's disease ?
Do psychotic manifestations change the first diagnosis of Parkinson's disease (for example parkinson-dementia , Lewy body -dementia....or other) ?
As Jordi underlines, Parkinson's disease in not just a disorder of movement. As highlighted in the first articles published by Parkinson it is also a disorder of pain....for example.
But I understand the opinion of Michal ...I can not share it for its logic.
With the best regards,
Ciro
But I understand the opinion of Michal....I share it for its logic.
This is.
- Badges
- Science topic
- Similar topics
- Psychology