Normal Pressure Hydrocephalus Mimicking Antipsychotic-induced Parkinsonism

Ting-Jen Cheng; Wen Chen Ouyang; Mei-Chih Tseng; Ming Been Lee; His-Chung  Chen

Normal Pressure Hydrocephalus Mimicking Antipsychotic-induced Parkinsonism

Ting-Jen Cheng, Wen Chen Ouyang, Mei-Chih Tseng, Ming Been Lee, His-Chung Chen

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: Normal pressure hydrocephalus (NPH) is a diagnostic challenge for clinicians due to significant variations in its clinical presentation, especially in patients with a psychiatric history. Case Report: A 47-year-old female with chronic schizophrenia had extrapyramidal symptoms (EPS) while being admitted on the psychiatric ward. Her EPS were initially considered to be induced by antipsychotic drugs, but the symptoms persisted despite adjustments in medication. The finding of the computed tomographic scan later revealed NPH. After being implanted a ventriculo-peritoneal shunt, her EPS were gradually improved. Conclusion: The typical symptoms of NPH are similar to some of the common mental disorders, or the side effects induced by antipsychotic drugs. NPH is suggested to be considered when schizophrenic patients are presenting a gait or movement disturbance but with poor response to the management for EPS.

Original language	English
Pages (from-to)	167-171
Journal	Taiwanese Journal of Psychiatry (Taipei)
Volume	23
Issue number	2
Publication status	Published - Jun 1 2009

Cite this

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title = "Normal Pressure Hydrocephalus Mimicking Antipsychotic-induced Parkinsonism",

abstract = "Objective: Normal pressure hydrocephalus (NPH) is a diagnostic challenge for clinicians due to significant variations in its clinical presentation, especially in patients with a psychiatric history. Case Report: A 47-year-old female with chronic schizophrenia had extrapyramidal symptoms (EPS) while being admitted on the psychiatric ward. Her EPS were initially considered to be induced by antipsychotic drugs, but the symptoms persisted despite adjustments in medication. The finding of the computed tomographic scan later revealed NPH. After being implanted a ventriculo-peritoneal shunt, her EPS were gradually improved. Conclusion: The typical symptoms of NPH are similar to some of the common mental disorders, or the side effects induced by antipsychotic drugs. NPH is suggested to be considered when schizophrenic patients are presenting a gait or movement disturbance but with poor response to the management for EPS.",

author = "Ting-Jen Cheng and Ouyang, {Wen Chen} and Mei-Chih Tseng and Lee, {Ming Been} and His-Chung Chen",

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T1 - Normal Pressure Hydrocephalus Mimicking Antipsychotic-induced Parkinsonism

AU - Cheng, Ting-Jen

AU - Ouyang, Wen Chen

AU - Tseng, Mei-Chih

AU - Lee, Ming Been

AU - Chen, His-Chung

PY - 2009/6/1

Y1 - 2009/6/1

N2 - Objective: Normal pressure hydrocephalus (NPH) is a diagnostic challenge for clinicians due to significant variations in its clinical presentation, especially in patients with a psychiatric history. Case Report: A 47-year-old female with chronic schizophrenia had extrapyramidal symptoms (EPS) while being admitted on the psychiatric ward. Her EPS were initially considered to be induced by antipsychotic drugs, but the symptoms persisted despite adjustments in medication. The finding of the computed tomographic scan later revealed NPH. After being implanted a ventriculo-peritoneal shunt, her EPS were gradually improved. Conclusion: The typical symptoms of NPH are similar to some of the common mental disorders, or the side effects induced by antipsychotic drugs. NPH is suggested to be considered when schizophrenic patients are presenting a gait or movement disturbance but with poor response to the management for EPS.

AB - Objective: Normal pressure hydrocephalus (NPH) is a diagnostic challenge for clinicians due to significant variations in its clinical presentation, especially in patients with a psychiatric history. Case Report: A 47-year-old female with chronic schizophrenia had extrapyramidal symptoms (EPS) while being admitted on the psychiatric ward. Her EPS were initially considered to be induced by antipsychotic drugs, but the symptoms persisted despite adjustments in medication. The finding of the computed tomographic scan later revealed NPH. After being implanted a ventriculo-peritoneal shunt, her EPS were gradually improved. Conclusion: The typical symptoms of NPH are similar to some of the common mental disorders, or the side effects induced by antipsychotic drugs. NPH is suggested to be considered when schizophrenic patients are presenting a gait or movement disturbance but with poor response to the management for EPS.

M3 - Article

VL - 23

SP - 167

EP - 171

JO - Taiwanese Journal of Psychiatry (Taipei)

JF - Taiwanese Journal of Psychiatry (Taipei)

IS - 2

ER -