Idiopathic Parkinson’s disease and Schizophrenia: Dilemma in diagnosis and treatment

  • Sneha Sharma Lady Hardinge Medical College, New Delhi, India.
  • Nitin Aggarwal Lady Hardinge Medical College, New Delhi, India.
Keywords: schizophrenia, Parkinson’s disease

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 chal-lenge, 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 diag-nosed with schizophrenia and later developed Parkinson’s disease while non-compliant to antipsy-chotic 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 ex-trapyramidal 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 di-agnostic imaging modalities interferes in making a conclusive diagnosis.

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Published
2019-05-08
How to Cite
1.
Sharma S, Aggarwal N. Idiopathic Parkinson’s disease and Schizophrenia: Dilemma in diagnosis and treatment. Iran J Psychiatry. 14(2):179-181.
Section
Case Report(s)