eISSN: 2084-9885
ISSN: 1896-6764
Neuropsychiatria i Neuropsychologia/Neuropsychiatry and Neuropsychology
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank
3-4/2009
vol. 4
 
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abstract:

Case study
Impulse control disorder associated with dopaminergic therapy in Parkinson’s disease - a case report

Martin Valis
,
Jiri Masopust
,
Ales Urban
,
Dita Kalnicka

Neuropsychiatria i Neuropsychologia 2009; 4, 3-4: 160-162
Online publish date: 2009/12/09
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Parkinson’s disease is regularly associated with non-motor symptoms that are often not sufficiently diagnosed and treated. We describe development of an impulse control disorder in relation to the administration of dopamine agonist pramipexole to a 61 year-old male with Parkinson’s disease. Behavioral disturbances in the patient evolved gradually after the initiation of pramipexole therapy in a dose of 2.1 mg pro die and disappeared within several weeks after pramipexole daily dose reduction to 0.54 mg. The case demonstrates the necessity for careful monitoring of adverse effects of dopaminergic treatment in patients with Parkinson’s disease. Differential diagnosis of symptoms and treatment options are discussed.
keywords:

behavioral symptoms, dopaminergic agents, impulse control disorders, Parkinson’s disease, pramipexole

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