Artistic profession: A potential risk factor for dopamine dysregulation syndrome in Parkinson's disease?
Identifieur interne : 000F11 ( Istex/Corpus ); précédent : 000F10; suivant : 000F12Artistic profession: A potential risk factor for dopamine dysregulation syndrome in Parkinson's disease?
Auteurs : Petra Schwingenschuh ; Petra Katschnig ; Ronald Saurugg ; Erwin Ott ; Kailash P. BhatiaSource :
- Movement Disorders [ 0885-3185 ] ; 2010-03-15.
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Abstract
A small proportion of patients with Parkinson's disease (PD) develop a dopamine dysregulation syndrome (DDS). Management of such patients can be difficult; hence, early identification and careful monitoring of at‐risk individuals are important. Based on four illustrative cases, we wish to draw attention to the risk of developing DDS in PD patients engaged in a creative and artistic profession, who compulsively abuse dopaminergic drugs to maintain or enhance their artistic creativity. Balancing the drug requirement for treating motor symptoms on one hand and improving creativity on the other hand has to be carefully evaluated and early neuropsychiatric intervention may be necessary. Apart from the known risk factors—young age at PD onset, male gender, heavy alcohol consumption, illegal drug use, and history of affective disorder—engagement in a creative or artistic profession may be an additional risk factor for developing DDS. © 2010 Movement Disorder Society
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DOI: 10.1002/mds.22936
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<role><roleTerm type="text">author</roleTerm>
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<name type="personal"><namePart type="given">Petra</namePart>
<namePart type="family">Katschnig</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, UCL, Queen Square, London, United Kingdom</affiliation>
<affiliation>Department of Neurology, Medical University Graz, Graz, Austria</affiliation>
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</name>
<name type="personal"><namePart type="given">Ronald</namePart>
<namePart type="family">Saurugg</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Medical University Graz, Graz, Austria</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Erwin</namePart>
<namePart type="family">Ott</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Medical University Graz, Graz, Austria</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Kailash P.</namePart>
<namePart type="family">Bhatia</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, UCL, Queen Square, London, United Kingdom</affiliation>
<description>Correspondence: Sobell Department, Institute of Neurology, UCL, Queen Square, London WC1N 3BG, United Kingdom</description>
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<dateIssued encoding="w3cdtf">2010-03-15</dateIssued>
<dateCaptured encoding="w3cdtf">2009-08-25</dateCaptured>
<dateValid encoding="w3cdtf">2009-11-08</dateValid>
<copyrightDate encoding="w3cdtf">2010</copyrightDate>
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<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<abstract lang="en">A small proportion of patients with Parkinson's disease (PD) develop a dopamine dysregulation syndrome (DDS). Management of such patients can be difficult; hence, early identification and careful monitoring of at‐risk individuals are important. Based on four illustrative cases, we wish to draw attention to the risk of developing DDS in PD patients engaged in a creative and artistic profession, who compulsively abuse dopaminergic drugs to maintain or enhance their artistic creativity. Balancing the drug requirement for treating motor symptoms on one hand and improving creativity on the other hand has to be carefully evaluated and early neuropsychiatric intervention may be necessary. Apart from the known risk factors—young age at PD onset, male gender, heavy alcohol consumption, illegal drug use, and history of affective disorder—engagement in a creative or artistic profession may be an additional risk factor for developing DDS. © 2010 Movement Disorder Society</abstract>
<note type="content">*Potential conflict of interest: Nothing to report.</note>
<subject lang="en"><genre>Keywords</genre>
<topic>Parkinson's disease</topic>
<topic>artists</topic>
<topic>creativity</topic>
<topic>DDS</topic>
<topic>dopamine</topic>
</subject>
<relatedItem type="host"><titleInfo><title>Movement Disorders</title>
</titleInfo>
<titleInfo type="abbreviated"><title>Mov. Disord.</title>
</titleInfo>
<subject><genre>article category</genre>
<topic>Brief Report</topic>
</subject>
<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part><date>2010</date>
<detail type="volume"><caption>vol.</caption>
<number>25</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>4</number>
</detail>
<extent unit="pages"><start>493</start>
<end>496</end>
<total>4</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">6FF27A706233439DA81DD3F98B31E3A99CFA8467</identifier>
<identifier type="DOI">10.1002/mds.22936</identifier>
<identifier type="ArticleID">MDS22936</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2010 Movement Disorder Society</accessCondition>
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