Indian Journal of PsychiatryIndian Journal of Psychiatry
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ARTICLE
Year : 2000  |  Volume : 42  |  Issue : 4  |  Page : 439-441

Mania in Parkinsons Disease with Treatment Emergent Dyskineisa : A Case Report


1 Senior Resident in Psychiatry, Topiwala National Medical College & BYL Nair Ch. Hospital, Dr. A.L. Nair Road, Bombay-400 008, India
2 Hon. Professor & Psychiatrist, Topiwala National Medical College & BYL Nair Ch. Hospital, Dr. A.L. Nair Road, Bombay-400 008, India

Correspondence Address:
Raheev Yadav
Senior Resident in Psychiatry, Topiwala National Medical College & BYL Nair Ch. Hospital, Dr. A.L. Nair Road, Bombay-400 008
India
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Source of Support: None, Conflict of Interest: None


PMID: 21407984

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A case of parkinson's disease starting 7 yrs. ago in 1993 with 2 episodes of mania is presented. The 1st episode (1993) was of 1-1A months duration, when early parkinsons symptoms had already set in. This was treated with anti-psychotic medications for a month, the picture was complicated with stroke and post-stroke sequlae for 5-6 months, where anti-psychotics were continued. He developed dyskinesia, when antipsychotics were stopped. The patient was on selegiline for Parkinson's disease for 2 years and off all medications subsequently. The 2nd episode of mania occurred after 7 years in January 2000. This episode of mania lasting for 2 months duration was treated with divalproate sodium and l-dopa for Parkinson's. Treatment emergent dyskinesia had to be treated with Clozapine. This unusual combination ofbipolar-l disorer (2 episodes of mania) with Parkinson's disease and treatment emergent dyskinesia is presented with management strategy.



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