Minor hallucinations occur in drug-naive Parkinson's disease patients, even from the premotor phase.
Identifieur interne : 000023 ( PubMed/Curation ); précédent : 000022; suivant : 000024Minor hallucinations occur in drug-naive Parkinson's disease patients, even from the premotor phase.
Auteurs : Javier Pagonabarraga [Espagne] ; Saul Martinez-Horta [Espagne] ; Ram N Fernández De Bobadilla [Espagne] ; Jesús Pérez [Espagne] ; Roser Ribosa-Nogué [Espagne] ; Juan Marín [Espagne] ; Berta Pascual-Sedano [Espagne] ; Carmen García [Espagne] ; Alexandre Gironell [Espagne] ; Jaime Kulisevsky [Espagne]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2015.
Abstract
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 PD patients reporting minor hallucinations, we aimed to prospectively identify "de novo" untreated PD patients experiencing hallucinatory phenomena, and to compare their clinico-demographic characteristics with those of untreated PD patients without hallucinations and healthy controls.
DOI: 10.1002/mds.26432
PubMed: 26408291
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Minor hallucinations occur in drug-naive Parkinson's disease patients, even from the premotor phase.</title>
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<front><div type="abstract" xml:lang="en">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 PD patients reporting minor hallucinations, we aimed to prospectively identify "de novo" untreated PD patients experiencing hallucinatory phenomena, and to compare their clinico-demographic characteristics with those of untreated PD patients without hallucinations and healthy controls.</div>
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<pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">26408291</PMID>
<DateCreated><Year>2015</Year>
<Month>9</Month>
<Day>26</Day>
</DateCreated>
<DateRevised><Year>2015</Year>
<Month>9</Month>
<Day>27</Day>
</DateRevised>
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<Month>Sep</Month>
<Day>26</Day>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
</Journal>
<ArticleTitle>Minor hallucinations occur in drug-naive Parkinson's disease patients, even from the premotor phase.</ArticleTitle>
<Pagination><MedlinePgn></MedlinePgn>
</Pagination>
<ELocationID EIdType="doi">10.1002/mds.26432</ELocationID>
<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">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 PD patients reporting minor hallucinations, we aimed to prospectively identify "de novo" untreated PD patients experiencing hallucinatory phenomena, and to compare their clinico-demographic characteristics with those of untreated PD patients without hallucinations and healthy controls.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Screening and description of psychosis was assessed by the Movement Disorders Society Unified Parkinson's Disease Rating Scale-Part I and a structured interview covering all types of psychotic phenomena reported in PD. Clinical, neuropsychological, and demographic data of PD patients with and without psychotic phenomena were compared with those of age- and education-matched healthy controls.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Fifty drug-naive, "de novo" PD patients and 100 controls were prospectively included. Minor hallucinations were experienced in 42% (21 of 50) PD patients and 5% controls (P < 0.0001). Coexistence of passage and presence hallucinations was the most common finding. Unexpectedly, 33.3% of patients with minor hallucinations manifested these as a pre-motor symptom, starting 7 months to 8 years before first parkinsonian motor symptoms. The presence of minor hallucinations was significantly associated with presence of rapid eye movement sleep behavior disorder.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In this first study to prospectively analyze the frequency of minor hallucinatory phenomena in incident, untreated PD patients, hallucinations appeared as a frequent early non-motor symptom that may even predate the onset of parkinsonism. © 2015 International Parkinson and Movement Disorder Society.</AbstractText>
<CopyrightInformation>© 2015 International Parkinson and Movement Disorder Society.</CopyrightInformation>
</Abstract>
<AuthorList><Author><LastName>Pagonabarraga</LastName>
<ForeName>Javier</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Movement Disorders Unit, Neurology Department Sant Pau Hospital, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Universitat Autònoma de Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author><LastName>Martinez-Horta</LastName>
<ForeName>Saul</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Universitat Autònoma de Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Biomedical Research Institute (IIB-Sant Pau), Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Universitat Oberta de Catalunya (UOC), Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author><LastName>Fernández de Bobadilla</LastName>
<ForeName>Ramón</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Universitat Autònoma de Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Biomedical Research Institute (IIB-Sant Pau), Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Universitat Oberta de Catalunya (UOC), Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author><LastName>Pérez</LastName>
<ForeName>Jesús</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Universitat Autònoma de Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Biomedical Research Institute (IIB-Sant Pau), Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author><LastName>Ribosa-Nogué</LastName>
<ForeName>Roser</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Universitat Autònoma de Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Biomedical Research Institute (IIB-Sant Pau), Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author><LastName>Marín</LastName>
<ForeName>Juan</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Universitat Autònoma de Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Biomedical Research Institute (IIB-Sant Pau), Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author><LastName>Pascual-Sedano</LastName>
<ForeName>Berta</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Movement Disorders Unit, Neurology Department Sant Pau Hospital, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Universitat Autònoma de Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Universitat Oberta de Catalunya (UOC), Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author><LastName>García</LastName>
<ForeName>Carmen</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Movement Disorders Unit, Neurology Department Sant Pau Hospital, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Universitat Autònoma de Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author><LastName>Gironell</LastName>
<ForeName>Alexandre</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Movement Disorders Unit, Neurology Department Sant Pau Hospital, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Universitat Autònoma de Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author><LastName>Kulisevsky</LastName>
<ForeName>Jaime</ForeName>
<Initials>J</Initials>
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</AffiliationInfo>
<AffiliationInfo><Affiliation>Universitat Autònoma de Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Biomedical Research Institute (IIB-Sant Pau), Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Universitat Oberta de Catalunya (UOC), Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Centro de Investigación en Red-Enfermedades Neurodegenerativas (CIBERNED), Spain.</Affiliation>
</AffiliationInfo>
</Author>
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<Keyword MajorTopicYN="N">REM sleep behavior disorder</Keyword>
<Keyword MajorTopicYN="N">drug-naive</Keyword>
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