
Past Issues
Kuan-Chiao Lee, Yung-Chieh Yen
Case 1
A 65-year-old married male patient with a
past history of coronary artery disease and benign
prostatic hyperplasia, was diagnosed with major
depressive disorder and generalized anxiety disorder
four years ago. He was hospitalized due to depressive
mood, epigastralgia, insomnia, social
withdrawal, decreased appetite, and recent body
weight loss. He also showed masked facial expression,
resting tremors, festinating gaits, and being
bed-ridden requiring help in getting out of
bed. A neurologist was consulted. The image of
his brain [99mTc] TRODAT-1 examination was
compatible to the finding of PD, stage V.
Case 2
A 59-year-old married male patient with past
history of major depressive disorder diagnosed at
age 52 years, experienced diminished appetite
with body weight loss, anhedonia, social withdrawal,
poor concentration due to absent-minded-ness, depressed mood with suicidal
ideation, uncontrollable crying, and negative thinking for
more than one week. Recently, his family also
observed his poker-face expression, tremors in
four extremities, festinating gaits, and accidental
falls. He was hospitalized and a neurologist was
consulted. The picture of brain [99mTc] TRODAT-1 examination was consistent with that of PD, stage III.
Case 3
A 56-year-old widowed patient suffered from
depressed mood, suicidal ideation, social withdrawal,
poor memory, poor sleep quality, and decreased activities of daily living following the
death of her husband two years previously.
Additional symptoms included resting tremors in
her hands (especially left side), mask-like facial
expression and impaired motor coordination. She
sought help at our neurology clinic. The finding of
a brain [99mTc] TRODAT-1 study was compatible
to that of PD, stage 1. Later, she was referred for
psychiatric inpatient hospitalization.
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