MANIA IN PARKINSON'S DISEASE WITH TREATMENT EMERGENT DYSKINEISA : A CASE REPORT

A case of parkinson's disease starting 7 yrs. ago in 1993 with 2 episodes of mania is presented. The 1st episode (1993) was of 1-1/2 months duration, when early parkinsons symptoms had already set in. This was treated with anti-psychotic medications for a month, the picture was complicated with...

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Detalles Bibliográficos
Autores principales: Yadav, Rajeev, Pinto, Charles
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2000
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2962748/
https://www.ncbi.nlm.nih.gov/pubmed/21407984
Descripción
Sumario:A case of parkinson's disease starting 7 yrs. ago in 1993 with 2 episodes of mania is presented. The 1st episode (1993) was of 1-1/2 months duration, when early parkinsons symptoms had already set in. This was treated with anti-psychotic medications for a month, the picture was complicated with stroke and post-stroke sequlae for 5-6 months, where anti-psychotics were continued. He developed dyskinesia, when antipsychotics were stopped. The patient was on selegiline for Parkinson's disease for 2 years and off all medications subsequently. The 2nd episode of mania occurred after 7 years in January 2000. This episode of mania lasting for 2 months duration was treated with divalproate sodium and I-dopa for Parkinson's. Treatment emergent dyskinesia had to be treated with Clozapine. This unusual combination of bipolar-l disorer (2 episodes of mania) with Parkinson's disease and treatment emergent dyskinesia is presented with management strategy.

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