文摘
The phenomenology of psychosis in Parkinson’s disease and diffuse Lewy body dementia are unique to the disease state Minor hallucinations can occur early in the course of the disease sometimes predating the onset of motor symptoms. Visual hallucinations are the most common sensory modality of hallucinations in Parkinson’s disease psychosis. Auditory, olfactory, tactile and gustatory hallucinations can occur and tend to coincide Treatment is with reduction of dopaminergic medications and possibly addition of an antipsychotic agent or pimavanserin.