Multiform psychotic disorders in a patient with Parkinson’s disease undergoing deep brain stimulation – case report

IF 0.4 Q4 PSYCHIATRY Neuropsychiatria i Neuropsychologia Pub Date : 2021-01-01 DOI:10.5114/NAN.2021.108037
Piotr W. Trzeciak, J. Jaracz
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Abstract

The article describes a case of a 69-year-old patient with Parkinson’s disease, who underwent deep brain stimulation treatment and developed side effects in the form of delirium after pulse generator implantation and a psychotic disorder with delusions due to the known physiological condition after pulse generator initiation. The patient suffered an episode of psychosis with visual hallucinations and persecutory delusions that directly endangered his life. After stimulation was discontin-ued and antipsychotic drugs were administered on a psychiatric ward positive symptoms abated. After the mental state stabilized, motor symptoms such as upper limb tremor and gait difficulties worsened. The patient was referred for further neurological treatment.
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接受深部脑刺激的帕金森病患者出现多形式精神障碍1例报告
本文描述了一例69岁的帕金森病患者,接受脑深部刺激治疗后,脉冲发生器植入后出现谵妄的副作用,并因脉冲发生器启动后已知的生理状况而出现妄想性精神障碍。病人有一次精神病发作,伴有视觉幻觉和迫害妄想,直接危及他的生命。在精神科病房停止刺激和服用抗精神病药物后,阳性症状减轻。精神状态稳定后,上肢震颤、步态困难等运动症状加重。病人被转诊作进一步的神经学治疗。
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来源期刊
CiteScore
0.80
自引率
20.00%
发文量
15
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