La maladie de Parkinson au Canada (serveur d'exploration)

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Increased striatal dopamine release in Parkinsonian patients with pathological gambling : a [11C] raclopride PET study

Identifieur interne : 000744 ( PascalFrancis/Curation ); précédent : 000743; suivant : 000745

Increased striatal dopamine release in Parkinsonian patients with pathological gambling : a [11C] raclopride PET study

Auteurs : T. D. L. Steeves [Canada] ; J. Miyasaki [Canada] ; M. Zurowski [Canada] ; A. E. Lang [Canada] ; G. Pellecchia [Canada] ; T. Van Eimeren [Canada] ; P. Rusjan [Canada] ; S. Houle [Canada] ; A. P. Strafella [Canada]

Source :

RBID : Pascal:09-0220633

Descripteurs français

English descriptors

Abstract

Pathological gambling is an impulse control disorder reported in association with dopamine agonists used to treat Parkinson's disease. Although impulse control disorders are conceptualized as lying within the spectrum of addictions, little neurobiological evidence exists to support this belief. Functional imaging studies have consistently demonstrated abnormalities of dopaminergic function in patients with drug addictions, but to date no study has specifically evaluated dopaminergic function in Parkinson's disease patients with impulse control disorders. We describe results of a [11C] raclopride positron emission tomography (PET) study comparing dopaminergic function during gambling in Parkinson's disease patients, with and without pathological gambling, following dopamine agonists. Patients with pathological gambling demonstrated greater decreases in binding potential in the ventral striatum during gambling (13.9%) than control patients (8.1%), likely reflecting greater dopaminergic release. Ventral striatal bindings at baseline during control task were also lower in patients with pathological gambling. Although prior imaging studies suggest that abnormality in dopaminergic binding and dopamine release may be markers of vulnerability to addiction, this study presents the first evidence of these phenomena in pathological gambling. The emergence of pathological gambling in a number of Parkinson's disease patients may provide a model into the pathophysiology of this disorder.
pA  
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A11 01  1    @1 STEEVES (T. D. L.)
A11 02  1    @1 MIYASAKI (J.)
A11 03  1    @1 ZUROWSKI (M.)
A11 04  1    @1 LANG (A. E.)
A11 05  1    @1 PELLECCHIA (G.)
A11 06  1    @1 VAN EIMEREN (T.)
A11 07  1    @1 RUSJAN (P.)
A11 08  1    @1 HOULE (S.)
A11 09  1    @1 STRAFELLA (A. P.)
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C01 01    ENG  @0 Pathological gambling is an impulse control disorder reported in association with dopamine agonists used to treat Parkinson's disease. Although impulse control disorders are conceptualized as lying within the spectrum of addictions, little neurobiological evidence exists to support this belief. Functional imaging studies have consistently demonstrated abnormalities of dopaminergic function in patients with drug addictions, but to date no study has specifically evaluated dopaminergic function in Parkinson's disease patients with impulse control disorders. We describe results of a [11C] raclopride positron emission tomography (PET) study comparing dopaminergic function during gambling in Parkinson's disease patients, with and without pathological gambling, following dopamine agonists. Patients with pathological gambling demonstrated greater decreases in binding potential in the ventral striatum during gambling (13.9%) than control patients (8.1%), likely reflecting greater dopaminergic release. Ventral striatal bindings at baseline during control task were also lower in patients with pathological gambling. Although prior imaging studies suggest that abnormality in dopaminergic binding and dopamine release may be markers of vulnerability to addiction, this study presents the first evidence of these phenomena in pathological gambling. The emergence of pathological gambling in a number of Parkinson's disease patients may provide a model into the pathophysiology of this disorder.
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C03 02  X  SPA  @0 Juego patológico @5 02
C03 03  X  FRE  @0 Trouble du contrôle des impulsions @2 NM @5 03
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C03 03  X  SPA  @0 Trastorno control impulso @2 NM @5 03
C03 04  X  FRE  @0 Pathologie du système nerveux @5 04
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C03 10  X  ENG  @0 Positron emission tomography @5 14
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C03 11  X  ENG  @0 Functional imaging @5 15
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C07 04  X  FRE  @0 Syndrome extrapyramidal @5 40
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C07 06  X  SPA  @0 Sistema nervosio central patología @5 42
N21       @1 159
N44 01      @1 OTO
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Pascal:09-0220633

Le document en format XML

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<term>Jeu pathologique</term>
<term>Trouble du contrôle des impulsions</term>
<term>Pathologie du système nerveux</term>
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<term>Raclopride</term>
<term>Tomoscintigraphie</term>
<term>Tomographie par émission de positons</term>
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<div type="abstract" xml:lang="en">Pathological gambling is an impulse control disorder reported in association with dopamine agonists used to treat Parkinson's disease. Although impulse control disorders are conceptualized as lying within the spectrum of addictions, little neurobiological evidence exists to support this belief. Functional imaging studies have consistently demonstrated abnormalities of dopaminergic function in patients with drug addictions, but to date no study has specifically evaluated dopaminergic function in Parkinson's disease patients with impulse control disorders. We describe results of a [
<sup>11</sup>
C] raclopride positron emission tomography (PET) study comparing dopaminergic function during gambling in Parkinson's disease patients, with and without pathological gambling, following dopamine agonists. Patients with pathological gambling demonstrated greater decreases in binding potential in the ventral striatum during gambling (13.9%) than control patients (8.1%), likely reflecting greater dopaminergic release. Ventral striatal bindings at baseline during control task were also lower in patients with pathological gambling. Although prior imaging studies suggest that abnormality in dopaminergic binding and dopamine release may be markers of vulnerability to addiction, this study presents the first evidence of these phenomena in pathological gambling. The emergence of pathological gambling in a number of Parkinson's disease patients may provide a model into the pathophysiology of this disorder.</div>
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<sup>11</sup>
C] raclopride positron emission tomography (PET) study comparing dopaminergic function during gambling in Parkinson's disease patients, with and without pathological gambling, following dopamine agonists. Patients with pathological gambling demonstrated greater decreases in binding potential in the ventral striatum during gambling (13.9%) than control patients (8.1%), likely reflecting greater dopaminergic release. Ventral striatal bindings at baseline during control task were also lower in patients with pathological gambling. Although prior imaging studies suggest that abnormality in dopaminergic binding and dopamine release may be markers of vulnerability to addiction, this study presents the first evidence of these phenomena in pathological gambling. The emergence of pathological gambling in a number of Parkinson's disease patients may provide a model into the pathophysiology of this disorder.</s0>
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