Parkinson’sSyndrome, Cognitive Disorder and Psychosis (Diagnostic and TherapeuticProblems)
Parkinsonský syndróm,kognitívna porucha a psychóza(Diagnostické a terapeutické problémy)
Autori predkladajú kazuistiky dvoch pacientiek, u ktorých v popredíklinického obrazu bola koexistencia troch syndrómov: parkinsonského syn-drómu, paranoidne-halucinatórnej psychózy a poruchy kognitívnych funkcií.Prítomnosť tejto triády viedla k úvahám o možnosti demencie s difúznymvýskytom Lewyho teliesok (Lewy body dementia, dementia with Lewy bodi-es, DLB). Autori porovnávajú súhrn charakteristík u oboch pacientiek s dia-gnostickými kritériami možnej a pravdepodobnej DLB. Zároveň zvažujú ajznaky, ktoré síce nepatria medzi diagnostické kritériá, ale vyskytujú sa priDLB častejšie ako pri iných typoch demencií a pomáhajú pri diferenciálnejdiagnostike DLB a iných porúch. Obe pacientky spĺňajú diagnostické krité-riá pravdepodobnej DLB, ale napriek tomu autori upozorňujú aj na pochyb-nosti, ktoré v oboch prípadoch existujú. Záver práce je venovaný zvláštnejskupine problémov, ktorú predstavuje liečba porúch prejavujúcich sa uvede-nými troma syndrómami.
Klíčová slova:
parkinsonský syndróm, paranoidne-halucinatórna psychóza,kognitívna porucha, demencia s Lewyho telieskami.
Authors:
M. Králová; E. Kolibáš; K. Vajdičková; I. Vaváková
Authors‘ workplace:
Psychiatrická klinika LF UK a FN, Bratislava, prednosta prof. MUDr. I. Žucha, CSc.
Published in:
Čes. a slov. Psychiat., , 1999, No. 8, pp. 535-543.
Category:
Overview
Authors are presenting two case - reports, where co-existence of three syn-dromes was in the foreground of the clinical picture, parkinsonism, parano-id-hallucinatory psychosis and cognitive impairment. Presence of these threesyndromes made us suspect possible dementia with Lewy bodies (Lewy bodydementia, DLB). The authors compare features of both patients with thediagnostic criteria of possible and probable DLB. At the same time theyconsider signs, which do not belong to the diagnostic criteria, but occur inthe case of DLB more likely than in other types of dementia and which couldhelp to differentiate DLB and other diseases. Although both patients meetthe diagnostic criteria for probable DLB, the authors emphasize doubts inboth cases. The conclusion is devoted to a special group of problems with thetreatment of such diseases with manifestation of the three above mentionedsyndromes.
Key words:
parkinsonism, paranoid-hallucinatory psychosis, cognitive impa-irment, dementia with Lewy bodies.
Labels
Addictology Paediatric psychiatry PsychiatryArticle was published in
Czech and Slovak Psychiatry
1999 Issue 8
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