A CASE WITH HYPOCRETIN(OREXIN) DEFICIENT NARCOLEPSY, PARKINSON'S DISEASE AND SEVERE PSYCHOSIS WAS SUCCESSFULLY TREATED BY MODIFIED ELECTRO-CONVULSIVE THERAPY
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概要
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We report the case of a 60-year-old male who exhibited severe psychosis two years after beginning treatment with methylphenidate for hypocretin deficient narcolepsy. He also suffered from Parkinson's disease (PD) and was treated by several medications. The psychotic episode persisted several weeks after medication cessation and required management with modified electroconvulsion therapy. Physicians should be aware that psycho-stimulants and anti-PD medications commonly prescribed for treatment of narcolepsy and PD may precipitate psychosis in those patients.
著者
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Kikuchi Yuka
Department Of Cardiology Hakodate Goryoukaku Hospital
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Takahashi Yuya
Department Of Earth Sciences Waseda University
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Shimizu Tetsuo
Department Of Neuropsychiatry Akita University Graduate School Of Medicine
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Kanbayashi Takashi
Department Of Neuropsychiatry Akita University Graduate School Of Medicine
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Maruyama Fumi
Department Of Psychiatry Suwa Red Cross Hospital
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Kanbayashi Takashi
Department Of Psychiatry Akita University Graduate School Of Medicine
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Kikuchi Yuka
Department Of Psychiatry Akita University Graduate School Of Medicine
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Hanazono Akira
Department of Neurology, Akita University Graduate School of Medicine
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Abe Shunichiro
Department of Psychiatry, Akita University Graduate School of Medicine
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Iwaki Shinobu
Department of Psychiatry, Akita University Graduate School of Medicine
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Tsutsui Ko
Department of Psychiatry, Akita University Graduate School of Medicine
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Suda Hideka
Department of Psychiatry, Akita University Graduate School of Medicine
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Iwaki Shinobu
Department Of Psychiatry Akita University Graduate School Of Medicine
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Suda Hideka
Department Of Psychiatry Akita University Graduate School Of Medicine
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Shimizu Tetsuo
Department Of Electrical Engineering Nagaoka University Of Technology
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Shimizu Tetsuo
Department Of Psychiatry Akita University Graduate School Of Medicine
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Abe Shunichiro
Department Of Psychiatry Akita University Graduate School Of Medicine
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Hanazono Akira
Department Of Neurology Akita University Graduate School Of Medicine
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Tsutsui Ko
Department Of Psychiatry Akita University Graduate School Of Medicine
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Takahashi Yuya
Department of Psychiatry, Akita University Graduate School of Medicine
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SHIMIZU Tetsuo
Department of Civil Engineering The University of Tokyo
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