Effectiveness of anti-psychiatric treatment on visual and haptic perceptual disorder for a patient with Alzheimer’s disease: A case report  

作　　者：Ting Xu Xi Mei Zheng Zhao Yue-Hong Liu Cheng-Ying Zheng 

机构地区：[1]Department of Psychiatry,Affiliated Kangning Hospital of Ningbo University,Ningbo 315201,Zhejiang Province,China

出　　处：《World Journal of Psychiatry》2024年第9期1404-1410,共7页世界精神病学杂志

摘　　要：BACKGROUND Perception is frequently impaired in patients with Alzheimer’s disease(AD).Several patients exhibit visual or haptic hallucinations.CASE SUMMARY A 71-year-old Chinese man presented with visual and haptic hallucinations he had been experiencing for 2 weeks.The clinical manifestations were the feeling of insects crawling and biting the limbs and geison.He looked for the insects while itching and scratching,which led to skin breakage on the limbs.He was treated with topical and anti-allergic drugs in several dermatology departments without any significant improvement.After admission,the patient was administered risperidone(0.5 mg)and duloxetine(2 mg/day).One week later,the dose of risperidone was increased to 2 mg/day,and that of duloxetine was increased to 60 mg/day.After 2 weeks of treatment,the patient’s sensation of insects crawling and biting disappeared,and his mood stabilized.CONCLUSION This patient manifested psychiatric behavioral symptoms caused by AD brain atrophy.It was important to re-evaluate the patient’s cognitive-psychological status when the patient repeatedly went to the hospital for treatment.Follow-up attention to cognitive function and the consideration of perceptual deficits as early manifestations of AD should be considered.

关 键 词：Perceptual disorders Visual hallucination Haptic hallucination Alzheimer’s disease Anti-psychiatric treatment Case report 

分 类 号：R749.16[医药卫生—神经病学与精神病学]