Reversible dementia and falls associated with biperiden
DOI:
https://doi.org/10.1590/S0101-60832006000100004Keywords:
Biperiden, reversible dementia, anticholinergic drugs, aged, fallsAbstract
Anticholinergic drugs may cause adverse effects, more often in the aged patients. We describe a case of reversible dementia and falls, associated with the use of biperiden. The patient was an 82-year old woman, admitted in a geriatric home because of frequent falls at home, progressive cognitive deficit and tremor of extremities with movement, in addition to remarkable loss of autonomy. As a matter of fact, she presented an essential tremor, which was mistakenly diagnosed as Parkinson disease and treated with biperiden; furthermore, she developed a drug-induced cognitive deficit, erroneously interpreted as Alzheimer disease. After submitted to the specialized evaluation, the anticholinergic drug was discontinued and there was a complete improvement of cognition changes; the essential tremor is under control with use of propranolol. When evaluating a patient with cognitive deficit, the clinician must discard possible causes of reversible dementia, especially the iatrogenic group.Downloads
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Published
2006-01-01
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Case Reports
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How to Cite
Reversible dementia and falls associated with biperiden . (2006). Archives of Clinical Psychiatry, 33(1), 24-27. https://doi.org/10.1590/S0101-60832006000100004