Hallucinations and sleep disturbances in Parkinson's disease.

Abstract:

:Visual hallucinations (VHs) occur frequently in Parkinson's disease (PD). VHs occur more frequently in elderly patients with longer duration of illness, cognitive impairment, and sleep disturbances. The relationship between the use of antiparkinsonian drugs and VHs is complicated, but most drugs used to treat parkinsonian motor symptoms induce VHs and psychosis in some PD patients. The "continuum hypothesis" proposing that medication-induced psychiatric symptoms in PD begin with drug-induced sleep disturbances, followed by vivid dreams, with progression to hallucinatory and delusional experiences has been challenged. In some patients, VHs may represent intrusion of REM sleep-related imagery into wakefulness. Improving REM sleep abnormalities in PD (e.g., stimulants, anticholinesterase inhibitors) is one strategy now being tested to improve VHs in PD.

journal_name

Neurology

journal_title

Neurology

authors

Kulisevsky J,Roldan E

doi

10.1212/wnl.63.8_suppl_3.s28

subject

Has Abstract

pub_date

2004-10-26 00:00:00

pages

S28-30

issue

8 Suppl 3

eissn

0028-3878

issn

1526-632X

pii

63/8_suppl_3/S28

journal_volume

63

pub_type

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