Department of Nursing, Care Manager Outpatients Clinic Azienda Sanitaria Locale, Albano Laziale, Italy
Case Report
A Rare Case of PAF Comorbid with Epilepsy: Differential Diagnosis and Treatment of a Patient in Charge at Outpatient Home Care Clinic
Author(s): Flora Zarola* and Profeta B
Objective: A home care patient who was previously on outpatient clinic care with a suspicion of Parkinson's disease
was taken in charge. The clinical history reported a poor response to dopaminergic therapy that had been interrupted
at the initiative of the patient and his family. Therefore, the initial aim was a better diagnostic definition of a possible
extrapyramidal disease and the development of a more effective treatment.
Background: During the previous home visits, some signs suggesting a Parkinsonism such as reduced facial
expression and a certain motor slowdown with a slight axial stiffness were found, while along the way an orthostatic
hypotension was added to clinical observation. A first new attempt with dopaminergic therapy had given little
satisfaction, but in the meantime the presence of reported episodes of a.. View more»