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Treatment of pseudobulbar affect with citalopram in a patient with progressive multifocal leukoencephalopthy
1Department of Psychiatry, University of Western Ontario, London Health Sciences Centre, Victoria Hospital, 800 Commissioners Road, London, Ontario, Canada N6A 5W9.
Abstract:
Pseudobulbar affect (PBA) manifests in a variety of neurologic illnesses suggesting a heterogeneous pathophysiology with common underpinnings. We report successful treatment of PBA with a selective serotonin reuptake inhibitor (SSRI) in a 54-year-old woman following progressive multifocal leukoencephalopathy (PML). In light of recent focus on dextromethorphan/quinidine (DM/Q) for the treatment of PBA, the clinician is reminded of the effectiveness of SSRIs.
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