Volume 36 · Number 9
SEPTEMBER 2006
A 73-year-old Woman With Parkinson’s Disease, Psychotic Symptoms
By
Editor’s Note: This monthly presentation describes a case of a psychiatric disorder, discusses past treatment attempts, offers options for continuing treatment, and explains the reasons the solution was selected. Submissions of interesting psychiatric case reports are welcomed. Please e-mail Managing Editor Shannon O’Connor at [email protected] for further information.
PATIENT HISTORY
A 73-year-old widowed Caucasian female was brought by her daughter to the emergency department for a psychiatric evaluation. She was living with the daughter and had a 10-year history of Parkinson’s disease. Her resting tremors and bradykinesia were significant and had been treated with pramipexole. Two years before, the patient began exhibiting delusional thinking; she believed that her dead husband was still alive and cheating on her and that her home nursing aide was stealing her money. She also believed that people on television talked to her.
ABOUT THE AUTHORS
Dr. Mahgoub is geriatric psychiatry fellow, Beth Israel Medical Center, New York, NY. Dr. Hossain is chief, Geriatric Psychiatry, Bergen Regional Medical Center, Paramus, NJ; associate professor of psychiatry, Ross University School of Medicine, Dominica; and assistant professor of psychiatry, St. George’s University School of Medicine, Grenada.
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