HomeAnswersNeurologyparkinsonismMy dad with Parkinsonism suffers from delusion and forgetfulness. Kindly help.

Is it normal to notice forgetfulness and imaginary thoughts in a Parkinson patient?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Hitesh Kumar

Medically reviewed by

Dr. Vinodhini J.

Published At August 24, 2020
Reviewed AtAugust 24, 2020

Patient's Query

Hello doctor,

My father has been suffering from parkinsonism for the last one year. In the last seven days, there has been a drastic deterioration in his condition. Along with increase in the trembling of hands, the gait has changed drastically. He is no longer able to walk freely, he drags his feet and stops suddenly, which is followed by jerking of the limbs. He stoops forward all the time and any effort to move sends him out of balance and he seems to fall forward. Along with this scenario, he seems to have passed into a delusional world, speaks to himself and makes imaginary frantic hand movements at times. He talks incoherently and seems to have lost the sense of time. He forgets his meals and I have noticed that he tends to make a minute opening of the mouth when taking food. He is presently taking one tablet of Syndopa plus in the morning and a half tablet of the same in the evening. He also suffers from diabetes, hypertension, hypothyroidism, benign prostate enlargement, and obesity. He is 75 years old.

He is currently on Eltroxin 75, Raciper Plus, Franxit, Glipon MF, Starcad T25, Syndopa Plus, Amaryl MV1, Diavit Plus, Flodart Plus, Tonact 20, Ecosprin 75, and Softovac SF.

Answered by Dr. Hitesh Kumar

Hello,

Welcome to icliniq.com.

Appearance of forgetfulness within one year of parkinsonism raises the possibility of it being Parkinson's plus. As you mention that there is an increase in trembling of hands suggests increased parkinsonian symptoms. State of speaking to himself, imaginary hand movements and incoherent talks can be hallucinations (behavioral changes of advanced parkinsonism).

Among the medications list (which he is taking) tablet Raciper Plus contains Levosulpiride, which can also increase parkinsonian symptoms. Moreover, there may be associated metabolic factors (fever, infection of any kind, hyponatremia), which may increase parkinsonian symptoms and behavioral changes.

The Probable causes

Advancement of parkinsonian disease (Possibly parkinson's plus). Drug induced worsening (due to Levosulpiride). Metabolic derangement leading to worsening.

Investigations to be done

CPK (creatinine phosphokinase) total. X-ray chest. Urine routine.

Treatment plan

I suggest you to consult a neurologist physically for such symptoms, as modifications in Parkinson's medicines will not be feasible without examining the patient.

Preventive measures

In my opinion tab Raciper Plus should be stopped (if not given for some life-saving purpose).

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Hitesh Kumar
Dr. Hitesh Kumar

Neurology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Neurology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy