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Hallucination
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===Parkinson's disease and Lewy body dementia=== [[Parkinson's disease]] is linked with [[Dementia with Lewy bodies|Lewy body dementia]] for their similar hallucinatory symptoms. Presence hallucinations can be an early indicator of cognitive decline in Parkinson's Disease.<ref>{{Cite web |last=Franchina |first=Phil |date=2023-06-30 |title=Presence Hallucinations as an Early Indicator of Cognitive Decline in Parkinson's Disease |url=https://www.apdaparkinson.org/article/presence-hallucinations-as-an-early-indicator-of-parkinsons-disease/ |access-date=2024-07-27 |website=American Parkinson Disease Association |language=en-US}}</ref> The symptoms strike during the evening in any part of the visual field, and are rarely [[wikt:polymodal|polymodal]]. The segue into hallucination may begin with illusions<ref>{{cite web | url = https://www.nytimes.com/2006/02/14/health/14case.html | vauthors = Derr D | archive-url = https://web.archive.org/web/20110926153757/http://www.nytimes.com/2006/02/14/health/14case.html | archive-date=2011-09-26 | title = Marilyn and Me | work = The New York Times | date = 14 February 2006 }}</ref> where sensory perception is greatly distorted, but no novel sensory information is present. These typically last for several minutes, during which time the subject may be either conscious and normal or drowsy/inaccessible. Insight into these hallucinations is usually preserved and [[REM sleep]] is usually reduced. Parkinson's disease is usually associated with a degraded [[substantia nigra]] pars compacta, but recent evidence suggests that PD affects a number of sites in the brain. Some places of noted degradation include the median [[raphe nuclei]], the [[noradrenergic]] parts of the [[locus coeruleus]], and the [[cholinergic]] neurons in the [[parabrachial area]] and [[pedunculopontine]] nuclei of the [[tegmentum]].<ref name=manford/>
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