Orange and green monkeys jumping around the room

摘要

In July, 2006, a 62-year-old solicitor, with a 14-year history of Parkinson's disease, began to have worse tremor, stiffness, and fatigue, and reduced motor control. His illness had previously been well controlled by co-careldopa and selegiline. Ropirinole was introduced, and his symptoms decreased as the dose was increased. However, after 2 months, when the dose was 12 mg daily, he started to experience visual hallucinations of orange and green monkeys jumping aiound his room, and men in green uniforms marching aiound his bed. He also had vivid dreams in which he fought gory battles with soldiers, or was tortured by creatures resembling aliens.. His partner reported that he was shouting and agitated in his sleep: once, he violently attacked his pillow He developed per-secutory delusions, with a constant urge to move his belongings and furniture aiound the house, to protect them from strangers; when his paitner tried to persuade him not to do so, he became verbally aggressive.