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punding

Etiology: - adverse effect of dopaminergic agonist used in the treatment of Parkinson's disease - ropinirole Pathology: - dysregulation of dopamine-dependent reward systems Clinical manifestations: - excessive, compulsive, repetitive complex activity that serves no useful purpose Management: - reduction in dosage of dopaminergic agonist(s), i,e, ropinirole

General

compulsion

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 16 American College of Physicians, Philadelphia 2012
  2. O'Sullivan SS, Evans AH, Lees AJ. Punding in Parkinson's disease. Pract Neurol. 2007 Nov;7(6):397-9. PMID: 18024780