La maladie de Parkinson en France (serveur d'exploration)

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Addictive behaviors and Parkinson's disease.

Identifieur interne : 000811 ( PubMed/Curation ); précédent : 000810; suivant : 000812

Addictive behaviors and Parkinson's disease.

Auteurs : T. Witjas [France] ; A. Eusebio ; F. Fluchère ; J-P Azulay

Source :

RBID : pubmed:22921247

English descriptors

Abstract

In Parkinson's disease, the degeneration of the dopaminergic system and the longstanding exposure to dopamine replacement therapy (DRT) may cause, in a group of vulnerable patients, dysregulation of the brain reward system.

DOI: 10.1016/j.neurol.2012.06.014
PubMed: 22921247

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pubmed:22921247

Le document en format XML

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<nlm:affiliation>Service de neurologie et pathologie du mouvement, hôpital de la Timone, Marseille cedex, France. tatiana.witjas@ap-hm.fr</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de neurologie et pathologie du mouvement, hôpital de la Timone, Marseille cedex</wicri:regionArea>
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<term>Behavior, Addictive (therapy)</term>
<term>Brain (drug effects)</term>
<term>Brain (physiopathology)</term>
<term>Compulsive Behavior (chemically induced)</term>
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<AbstractText Label="STATE OF THE ARTS" NlmCategory="UNASSIGNED">These patients develop DRT-related compulsions, which include addiction to levodopa or dopamine dysregulation syndrome (DDS), punding, and impulse control disorders (ICDs). ICDs or behavioral addiction reported in Parkinson's disease include pathological gambling, hypersexuality, compulsive buying and binge eating. Although the underlying pathophysiology is still poorly understood, these behaviors are linked by their reward-based and repetitive nature. Such behaviors may result in devastating psychosocial impairment for the patients and are often hidden.</AbstractText>
<AbstractText Label="PERSPECTIVE AND CONCLUSIONS" NlmCategory="UNASSIGNED">The recognition of these behaviors is important and allows a better clinical management. Although the limited data do not permit particular therapeutic strategies, some approaches are worth considering: DRT reduction, trials of non-dopaminergic medications and subthalamic chronic stimulation.</AbstractText>
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