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Parkinson’s Disease Psychosis

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hallucinations

“String Hallucinations”: Multimodal Tactile and Visual Hallucinations in Parkinson’s Disease

By Jesús Pérez-Pérez MD, Javier Pagonabarraga MD, PhD, Ramón Fernández-Bobadilla PhD and Jaime Kulisevsky MD, PhD

The aim of this work was to report on 7 patients presenting a distinctive form of multimodal (tactile and visual) hallucinations for which the term “string hallucinations” is proposed. Having observed a patient interacting with imaginary strips of skin in his hands at our movement disorders unit, we prospectively studied PD patients and caregivers over…

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Minor hallucinations occur in drug-naive Parkinson’s disease patients, even from the premotor phase

By Javier Pagonabarraga MD, PhD, Saul Martinez-Horta BSc, Ramón Fernández de Bobadilla BSc, Jesús Pérez MD, Roser Ribosa-Nogué MD, Juan Marín MD, Berta Pascual-Sedano MD, PhD, Carmen García BSc, PhD, Alexandre Gironell MD, PhD and Jaime Kulisevsky MD, PhD

Objectives The description of minor hallucinatory phenomena (presence, passage hallucinations) has widened the spectrum of psychosis in Parkinson’s disease (PD). Minor hallucinatory phenomena seem to antedate the development of more severe hallucinations. Early detection of minor hallucinations may be useful for screening patients with more severe endophenotypes. Motivated by the observation of “de novo,” drug-naive…

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I finally see what you see: Parkinson’s disease visual hallucinations captured with functional neuroimaging

By Christopher G. Goetz MD, Christina L. Vaughan MD, MHS, Jennifer G. Goldman MD, MS and Glenn T. Stebbins PhD

Background Functional neuroimaging studies have described alterations in neural activation in PD patients with chronic hallucinations. These studies have not, however, captured neural activation patterns during an actual hallucinatory event. The objective of this work was to investigate neuroanatomical substrates active during visual hallucinations in a patient with Parkinson’s disease (PD). Methods We conducted an…

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Risk factors for hallucinations in Parkinson’s disease: Results from a large prospective cohort study

By Kangdi Zhu BSc, Jacobus J. van Hilten MD, PhD, Hein Putter PhD and Johan Marinus PhD

The aim of this study was to identify risk factors for the development of hallucinations in patients with Parkinson’s disease (PD). A broad range of motor and nonmotor features was assessed at baseline and during the following 5 years in 386 PD patients. Cross-sectional analyses of baseline data and longitudinal analyses of follow-up data were…

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REM behavior disorder, hallucinations and cognitive impairment in Parkinson’s disease: A two-year follow up

By Elena Sinforiani MD*, Claudio Pacchetti MD, Roberta Zangaglia MD, Chiara Pasotti DClinPsych, Raffaele Manni MD, and Giuseppe Nappi MD

In Parkinson’s disease (PD) the presence of REM parasonnias as REM Behaviour Disorder (RBD) or vivid dreams/nightmares, is recognized as largely associated with hallucinations, even if the risk of the development of hallucinations seem not to depend on how long the REM parasomnias had been occurring. The aim of this study was to establish if…

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A neuropsychological longitudinal study in Parkinson’s patients with and without hallucinations

By Gabriella Santangelo PhD, Luigi Trojano MD,*, Carmine Vitale MD, PhD, Marta Ianniciello MD, Marianna Amboni MD, Dario Grossi MD andPaolo Barone MD, PhD,*

The aim of this work was to determine the progression of cognitive impairment in Parkinson’s disease (PD) patients with or without hallucinations. Two years after the first assessment, 36 PD patients were re-evaluated on standardized neuropsychological tests, including the Frontal Assessment Battery (FAB), and on rating scales for overall cognitive functioning, functional autonomy, behavioral disorders.…

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The changing face of Parkinson’s disease-associated psychosis: A cross-sectional study based on the new NINDS-NIMH criteria

By Gilles Fénelon MD, PhD, Thierry Soulas MA, Franck Zenasni PhD and Laurent Cleret de Langavant MD

New criteria for Parkinson’s disease-associated psychosis (PDAP) were recently proposed by a NINDS-NIMH working group. We assessed 116 consecutive unselected outpatients with PD for the existence of psychotic symptoms during the previous month, using a structured questionnaire covering the whole spectrum of PDAP symptoms. Hallucinations occurred in 42% of the patients (visual: 16%; nonvisual: 35%),…

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Visual plus nonvisual hallucinations in Parkinson’s disease: Development and evolution over 10 years

By Christopher G. Goetz MD, Glenn T. Stebbins PhD and Bichun Ouyang PhD

The objective of the study was to assess the development and evolution of visual and nonvisual hallucinations in patients with Parkinson’s disease over 10 years. Hallucinations increase over time, but minimal attention has been placed on nonvisual domains. We studied 60 patients with Parkinson’s disease who had never hallucinated at baseline and followed them over…

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This article collection was made possible by an unrestricted grant from

Acadia Pharmaceuticals

Movement DisordersMovement Disorders is the leading journal on Parkinson’s disease, neurodegenerative & neurodevelopmental disorders & abnormalities in motor control.

Edited By:
Jose A. Obeso, MD, PhD

Movement Disorders Clinical PracticeMovement Disorders Clinical Practice is an online-only journal committed to publishing high quality peer reviewed articles related to clinical aspects of movement disorders.

Edited By:
Kailash Bhatia, MD, DM, FRCP
Marcelo Merello, MD, PhD

Official journals of the

International Parkinson and Movement Disorder Society

Popular

  • Delusional Infestation in Parkinson's Disease
  • “String Hallucinations”: Multimodal Tactile and Visual Hallucinations in Parkinson's Disease
  • Psychosis in Parkinson's disease without dementia: Common and comorbid with other non-motor symptoms
  • Minor hallucinations occur in drug-naive Parkinson's disease patients, even from the premotor phase
  • Validation of the Psychosis and Hallucinations Questionnaire in Non-demented Patients with Parkinson's Disease

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