Question

A 72-year-old male patient with cognitive impairment develops frightening visual hallucinations. You prescribe low dose risperidone. The patient develops severe bradykinesia, tremor, rigidity, and gait disturbance. His adverse reaction suggests which NCD diagnosis?

A. NCD due to Alzheimer's disease
B. NCD with Lewy bodies
C. Normal pressure hydrocephalus
D. NCD due to frontotemporal lobar degeneration
E. Vascular NCD

Answer 1

The patient's adverse reaction suggests a diagnosis of NCD with Lewy bodies, characterized by symptoms of Parkinson's disease and Lewy bodies in the brain.

Step-by-step explanation:

The patient's adverse reaction to low dose risperidone suggests a diagnosis of NCD with Lewy bodies. The symptoms the patient is experiencing, such as severe bradykinesia, tremor, rigidity, and gait disturbance, are characteristic of Parkinson's disease, which is commonly associated with Lewy bodies. Lewy bodies are abnormal protein deposits found in the brains of individuals with Parkinson's disease and Lewy body dementia. It is important to note that risperidone, an antipsychotic medication commonly used to treat hallucinations, can worsen Parkinson's symptoms.