European Geriatric Medicine - Supplement 1 - Volume 6 - September 2015

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S154 Poster presentations / European Geriatric Medicine 6S1 (2015) S32–S156
P-453
Prevalence of impulse control disorders and obsessive
compulsive disorder in elderly patients with Parkinson’s
disease
D. Fusco1, A.R. Bentivoglio1 , M.R. Lo Monaco1, R. Liperoti 1 ,
D. La Carpia1, E. D’Angelo1, A. Mautone1, C. Cipriani1, R. Bernabei2
1Universit`a Cattolica del Sacro Cuore, Roma, Italy; 2Italy
Objectives: To estimate the prevalence of ICDs and OCDs in a
population of elderly patients with Parkinson’s Disease living in
the community, compared with the general elderly population.
Materials and Methods: Cross sectional study projected to enroll a
total of 250 subjects with Parkinson’s Disease aged 65 or more,
during a period of one year. An age matched reference group
has been selected. Participants underwent comprehensive clinical
evalutation. ICD have been assessed using the Italian version of the
Questionnaire for Impulsive-Compulsive Disorders in Parkinson’s
Disease, whose linguistic validation has been conducted in a
preliminary phase. OCD are assessed using the Italian version of
Obsessive Compulsive Inventory-Revised.
Results: Results from ad interim analysis will be presented. At
present 95 persons have been enrolled, 64 patients with PD and 31
controls. The two groups show similar demographic characteristics,
cognitive and functional status. Prevalence of depression and use
of psychotropic medications is higher in patients with PD. A
high prevalence of ICD is present in both groups (35.3 in PD
vs. 29% in controls). Compulsive-impulsive behaviors and OCD
were equally frequent in both groups. Patients with PD and ICD
have a higher prevalence of depression use of dopamine agonists,
antidepressants and benzodiazepines, while compulsive behaviors
are associated with living alone, being depressed and higher use of
benzodiazepines.
Conclusions: Using validated instruments we detected a high
prevalence of ICD, impulsive-compulsive and OCD both in the PD
patients and in the general elderly population, suggesting common
neurodegenerative processes in the mesocortical and mesolimbic
pathways.
P-454
Catatonia: an unexpected complication
A. Gonz ´alez Ram´ırez1, C. Pablos Hern ´andez1, J.F. Jim´enez
Viseu-Pi˜neiro1, J.R. S ´anchez Marug ´an1, J.M. Juli ´an Enr´ıquez 1,
C. Hern ´andez Pascual1
1Universitary Hospital of Salamanca, Salamanca, Spain
Objectives: Catatonia is a complex, rare syndrome characterized
by the inability to move normally and includes behavioral, motor
and systemic signs. The pathophysiology of catatonia is unknown.
A delay in diagnosis, contraindication to certain therapies and
unexpected complications may result a fatal association.
Methods: 85 years old woman admitted to hospital with left hip
fracture. No history of falls reported, the patient slowly slides from
the sitting position without reflexes or voluntary movements to
avoid the fall. Medical History: NSAIDs intolerance. Hypertension.
Ischemic transitory accident 4 years ago. Factor VIII deficiency.
Functional status: Katz G, Barthel 0/100. Physical examination
(iconographic material provided): stupor and catalepsy. Wax
flexibility, negativism and posturing.
Results: Blood test and drug screening: no relevant findings.
Electroencephalography: generalized encephalopathy. Brain MRI:
calcified meningioma (35×45mm) at Poster presentationsior fossa.
Diffuse leucoaraiosis, mainly frontal. Final diagnosis: catatonia.
High risk of bleeding contraindicates the use of electroconvulsive
therapy (ECT). Poor response to intravenous benzodiazepines and
memantine.
Key conclusions:
• Catatonia is a complex syndrome with several different
manifestations and three primary subtypes: retarded, excited
and malignant.
• Treatment with intravenous lorazepam is usually effective
(60–80% of the cases). ECT should be started without delay
in severe cases or with no response to benzodiazepines.
Contraindication for ETC leads to consider other treatments like
antipsychotics or glutamate antagonists.
• Among possible complications are described dehydration,
malnourishment, thrombotic events and urinary tract infections,
but a hip fracture in a syndrome characterized by the absence of
movement is a very uncommon situation.
P-455
The correlation between dizziness and mental health in Korean
adults
S.H. Hong1 , S.Y. Kim2 , C.W. Won3
1Kyung Hee University Medical Center, Seoul, Republic of Korea;
2Republic of Korea; 3 Dept of Family Medicine, College of Medicine,
Kyung Hee University, Seoul, Republic of Korea
Objectives of the study: Patients experiencing dizziness may
display not only physiological symptoms, but also psychological
symptoms such as anxiety and depression. The purpose of this
study was to examine whether mental health of Korean Adults is
associated with dizziness.
Methods used: This study was based on data from 2010–2012
Korea National Health and Nutritional Examination Surveys. A total
of 8,313 individuals aged 40 years old or older who participated in
the survey on dizziness and mental health were ultimately selected
as the final study subjects.
Results obtained: The severity of dizziness was classified as
“Not dizzy”, “Dizzy”, and “Falling”. The results revealed that severe
dizziness led to a significant increase in stress (P< 0.0001) and
depression levels (P< 0.0001), and suicidal ideation (P < 0.0001).
For the comparison of dizziness prevalence according to the mental
health status, responses given on the mental health survey were
used to categorize subjects in regard to experience with stress,
depression, and suicidal ideation. The comparison of the odds
ratios of each group in terms of the dizziness prevalence revealed
that dizziness increased in the groups that had experienced stress,
depression, and suicidal ideation than in the groups that had not.
Conclusions reached: This study found that a close correlation
exists between dizziness severity and mental health status in
Korean Adults. Based on this finding, it can be recommended that
dizziness and mental health problems should not be treated as two
separate conditions, as there is a close correlation between them.
P-456
The Slipping Syndrome: about 16 cases
M. Lamloum1, F. Said1, M. Boudokhane1, M. Ben Nasr1 ,
T. Ben Salem1 , A. Hamzaoui1 , I. Ben Ghorbel1, M. Khanfir1 ,
M.H. Houman1
1La Rabta Hospital, Tunis, Tunisia
Introduction: Slipping syndrome (SS) is a purely affection which is
a fast decompensation of the general, hemodynamic and psychiatric
state upon an acute affection which is cured or seemingly cured.
The purpose of our studies is to list the cases of SS and to determine
the main triggering factors.
Material and Methods: We listed all cases of SS in a over of
ten years. The diagnosis was retained on somatic signs (change
of general state, adipsy, dehydration, bedsores, urinary disorders,
abdominal meteorism, unexplained relapse of a cured affection)
without organic t substratum, and psychological troubles. In every
case, the clinical and paraclinical explorations were negative. As
triggering factors, we retained falls, surgical operations, conflicts
and hospitalizations.
Results: 16 cases of SS 10 women and 6 men. The average age was of
76 years. Triggering factors were the hospitalization in 70%, falls in