Clinical Case Database / Category: Patient Management

Diagnosis and management of Parkinson's Disease dementia

Publication details

Authors Dr Alifa Isaacs-Itua BM BS, LLDip, BA (Hons), Dr Paritosh Sharma MB BS, MRCPsych, Dr Jim Bolton MB BS, BSc(Hons), FRCPsych,
Foundation Years Journal, volume 4, issue 3, p.15 (123Doc Education, London, March 2010)


Idiopathic Parkinson's Disease (PD) is the most common neurodegenerative disorder. It usually presents between the fifth and seventh decades and has a prevalence of 150 per 100,000. Cognitive decline directly attributed to PD, known as Parkinson's Disease dementia (PDD), can affect up to 40% of those with PD. Risk factors for PDD include older age of onset of motor symptoms and co-morbid depression. Consequently, Foundation doctors should be alert to the symptoms of both cognitive impairment and depression in patients with PD. Management of PDD includes identifying and reducing exacerbating factors and effective communication with patients and carers.

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Authors Dr Alifa Isaacs-Itua BM BS, LLDip, BA (Hons)

Foundation Doctor

Dr Paritosh Sharma MB BS, MRCPsych

Core Trainee in Psychiatry

Dr Jim Bolton MB BS, BSc(Hons), FRCPsych,

Consultant Liaison Psychiatrist and Honorary Senior Lecturer
Department of Liaison Psychiatry St Helier Hospital
Wrythe Lane
Carshalton, Surrey SM5 1AA


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.