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@ARTICLE{Burghaus:21473,
author = {Burghaus, L. and Eggers, C. and Timmermann, L. and Fink,
G.R.},
title = {{H}allucinations in neurodegenerative diseases},
journal = {CNS neuroscience $\&$ therapeutics},
volume = {18},
issn = {1755-5949},
address = {Oxford},
publisher = {Wiley-Blackwell},
reportid = {PreJuSER-21473},
pages = {149 - 159},
year = {2012},
note = {Record converted from VDB: 12.11.2012},
abstract = {Patients with neurodegenerative disease frequently
experience hallucinations and illusionary perceptions. As
early symptoms, hallucinations may even have diagnostic
relevance (i.e., for the diagnosis of Lewy Body Dementia).
In the later course of the disease, hallucinations may
appear as characteristic symptoms and often constitute a
particular challenge for therapeutic endeavors. Here, the
distinction of disease-inherent hallucinations from
medication-associated perceptual disturbances is
particularly relevant. Synucleinopathies and tauopathies
have different risk profiles for hallucinations. In
synucleinopathies hallucinations are much more frequent and
phenomenology is characterized by visual, short-lived
hallucinations, with insight preserved for a long time. A
“double hit” theory proposes that dysfunctionality of
both associative visual areas and changes of limbic areas or
the ventral striatum are required. In contrast, in
tauopathies the hallucinations are more rare and mostly
embedded in confusional states with agitation and with
poorly defined or rapidly changing paranoia. The occurrence
of hallucinations has even been proposed as an exclusion
criterion for tauopathies with Parkinsonian features such as
progressive supranuclear palsy. To date, treatment remains
largely empirical, except the use of clozapine and
cholinesterase inhibitors in synucleinopathies, which is
evidence-based. The risk of increased neuroleptic
sensitivity further restricts the treatment options in
patients with Lewy Body Dementia. Coping Strategies and
improvement of visual acuity and sleep quality may be useful
therapeutic complements.},
keywords = {Adaptation, Psychological / Animals / Hallucinations:
epidemiology / Hallucinations: psychology / Hallucinations:
therapy / Humans / Neurodegenerative Diseases: epidemiology
/ Neurodegenerative Diseases: psychology / Neurodegenerative
Diseases: therapy / Parkinson Disease: epidemiology /
Parkinson Disease: psychology / Parkinson Disease: therapy /
Sleep Disorders: epidemiology / Sleep Disorders: psychology
/ Sleep Disorders: therapy / J (WoSType)},
cin = {INM-3},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406},
pnm = {Funktion und Dysfunktion des Nervensystems (FUEK409) /
89572 - (Dys-)function and Plasticity (POF2-89572)},
pid = {G:(DE-Juel1)FUEK409 / G:(DE-HGF)POF2-89572},
shelfmark = {Neurosciences / Pharmacology $\&$ Pharmacy},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:21592320},
UT = {WOS:000300001700008},
doi = {10.1111/j.1755-5949.2011.00247.x},
url = {https://juser.fz-juelich.de/record/21473},
}