J Neuropsychiatry Clin Neurosci 10:194-198, May 1998
© 1998 American Psychiatric Press, Inc.
Delusional Misidentification in Association With Parkinsonism
David M. Roane, M.D.,
John D. Rogers, M.D.,
Jessica H. Robinson and
Todd E. Feinberg, M.D.
Received November 15, 1996; revised March 31, 1997; accepted April 9, 1997. From the Departments of Psychiatry and Neurology and Division of Neurobehavior and Alzheimer's Disease Center, Beth Israel Medical Center, New York, New York. Address correspondence to Dr. Roane, Beth Israel Medical Center, Department of Psychiatry, 16th Street and First Avenue, New York, NY 10003.
The delusional misidentification syndrome (DMS) has been associated with a range of neurological conditions. Three cases of DMS in patients with Parkinson's disease and dementia, treated with dopaminergic medications, are presented. It is postulated that DMS associated with parkinsonism results from a combination of dopaminergic psychosis and cognitive dysfunction involving the frontal lobe in particular. DMS in the setting of parkinsonism may be more frequent than commonly supposed.
Key Words: Delusions • Frontal Lobe • Parkinson's Disease
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