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Case 19 - Fluctuating Anxiety

from Part 4 - Failure of Pattern Recognition

Published online by Cambridge University Press:  03 November 2020

Keith Josephs
Affiliation:
Mayo Clinic Alzheimer’s Disease Research Center
Federico Rodriguez-Porcel
Affiliation:
Medical University of South Carolina
Rhonna Shatz
Affiliation:
University of Cincinnati
Daniel Weintraub
Affiliation:
University of Pennsylvania
Alberto Espay
Affiliation:
University of Cincinnati
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Summary

This 66-year-old right-handed woman with a 9-year history of Parkinson disease (PD) presented with worsening anxiety. During the last year, she was noted to worry excessively about different issues (e.g., her grandchildren’s safety, her family’s wealth), although no recent events could explain these new concerns. She also endorsed depressive symptoms like sadness and lack of energy. Despite the absence of worsening of her motor symptoms, severe apprehension about her condition had emerged. Fluoxetine had been started with mild benefit on her anxiety symptoms. She denied fluctuations in attention and cognitive changes.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2020

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References

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Storch, A. et al. 2013. Nonmotor fluctuations in Parkinson disease: severity and correlation with motor complications. Neurology 80(9) 800809.CrossRefGoogle ScholarPubMed
Witjas, T. et al. 2002. Nonmotor fluctuations in Parkinson’s disease: frequent and disabling. Neurology 59(3) 408413.CrossRefGoogle ScholarPubMed

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