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From the Neurology Service and Memory Clinic (Dr. Paleacu), Yehuda Abarbanel Mental Health Center and Sackler Faculty of Medicine, Tel-Aviv University, Industrial Engineering (Dr. Schechtman), Ben Gurion University, Beer Sheva, Department of Neurology (Dr. Inzelberg), Hillel Yaffe Medical Center, Hadera, and Bruce Rappaport Faculty of Medicine (Dr. Inzelberg), Technion, Haifa, Israel.
Address correspondence and reprint requests to Dr. R. Inzelberg, Department of Neurology, Hillel Yaffe Medical Center, Hadera, 38100, Israel; e-mail: irivka{at}tx.technion.ac.il
Objective: To identify familial risk factors for hallucinations in patients with Parkinson disease (PD).
Methods: Two hundred seventy-six outpatients with PD participated in the study. The presence of hallucinations was determined using a validated questionnaire, including items regarding the occurrence of visual, auditory, or other types of hallucinations. Family history of PD and dementia was determined by a structured interview and examination of medical records and affected family members. Patients with young-onset PD (<50 years) who reported another PD patient among their siblings were tested for parkin mutations. Stepwise logistic regression was applied for the detection of risk factors. The regression model included a set of family historyrelated variables (family history of PD and of dementia) and a set of disease-related variables (age, age at onset of PD, stage, duration of PD and of l-dopa therapy, l-dopa dose, and number of antiparkinsonian drugs).
Results: Hallucinations were present in 32% of the 276 patients. Risk factors for hallucinations included Mini-Mental State Examination score (p < 0.0001) and positive family history of dementia (p = 0.0005).
Conclusion: Family history of dementia and lower Mini-Mental State Examination scores are risk factors for hallucinations in Parkinson disease.
Presented in preliminary form at the American Academy of Neurology meeting, San Francisco, CA, 2004.
Received July 7, 2004. Accepted in final form January 25, 2005.
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