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- Title
Idiopathic Parkinson's Disease and Schizophrenia: Dilemma in Diagnosis and Treatment of a Case.
- Authors
Sharma, Sneha; Aggarwal, Nitin
- Abstract
The relationship between schizophrenia and idiopathic Parkinson's disease is still not clear and rare when they coexist. Diagnosing coexisting schizophrenia and idiopathic Parkinson's disease is a challenge, especially in developing countries due to lack of experts and advance imaging facilities. Treatment options are also limited. A 58- year- old male was admitted due to relapse of psychotic symptoms following non-compliance to antipsychotic medications. The patient was previously diagnosed with schizophrenia and later developed Parkinson's disease while non-compliant to antipsychotic medications. While the patient was at our center, his detailed history was taken and general physical examination was done to distinguish Parkinson's disease from anti-psychotic induced extrapyramidal symptoms. All the routine investigations were within normal limits. This case report highlights the clinical factors that help make a distinction and help use appropriate drugs to manage schizophrenia with comorbid Parkinson's disease in developing countries, where lack of precise diagnostic imaging modalities interferes in making a conclusive diagnosis.
- Subjects
PARKINSON'S disease diagnosis; DIAGNOSIS of schizophrenia; DIAGNOSTIC errors; DRUGS; MEDICAL history taking; PATIENT compliance; PHYSICAL diagnosis; DISEASE relapse
- Publication
Iranian Journal of Psychiatry, 2019, Vol 14, Issue 2, p179
- ISSN
1735-4587
- Publication type
Article