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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Are Bad Dreams And Hallucination Symptoms Of Recurring Parkinson Disease?

My husba d is a Parkinson patient approx. 3 years ago, he was hospitalized and diagnosed to have serotonin syndrome. He only takes 6 carba-dopa 25/100 tablets per day but is having bad dreams, jumps really bad and hulacinates and went into a deep sleep today. Is this symtoms again?
Fri, 7 Mar 2014
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Neurologist 's  Response
Hi,

Thank you for posting your query.

I have noted your husband's diagnosis of Parkinson's disease (PD) and his current symptoms of hallucinations and agitation.

There are two main possibilities in this case:

The most common cause for his hallucinations are medication-related. Levodopa is known to produce side effects of hallucinations, bad dreams, and agitation. To relieve this side effect, the dose of levodopa may be reduced and the last dose should be completed before 7 pm.

The other possibility could be an alternate diagnosis of DLBD (diffuse Lewy Body disease), which has clinical features similar to PD, but also has prominent hallucinations.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

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Are Bad Dreams And Hallucination Symptoms Of Recurring Parkinson Disease?

Hi, Thank you for posting your query. I have noted your husband s diagnosis of Parkinson s disease (PD) and his current symptoms of hallucinations and agitation. There are two main possibilities in this case: The most common cause for his hallucinations are medication-related. Levodopa is known to produce side effects of hallucinations, bad dreams, and agitation. To relieve this side effect, the dose of levodopa may be reduced and the last dose should be completed before 7 pm. The other possibility could be an alternate diagnosis of DLBD (diffuse Lewy Body disease), which has clinical features similar to PD, but also has prominent hallucinations. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in