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Management of impulse control disorders in Parkinson's disease: Controversies and future approaches
Author(s) -
Samuel Michael,
RodriguezOroz Maria,
Antonini Angelo,
Brotchie Jonathan M.,
Ray Chaudhuri Kallol,
Brown Richard G.,
Galpern Wendy R.,
Nirenberg Melissa J.,
Okun Michael S.,
Lang Anthony E.
Publication year - 2015
Publication title -
movement disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.352
H-Index - 198
eISSN - 1531-8257
pISSN - 0885-3185
DOI - 10.1002/mds.26099
Subject(s) - impulse control , deep brain stimulation , parkinson's disease , neuroscience , dopamine agonist , medicine , dopaminergic , disease , dopamine , psychology , impulse control disorder , cognition , psychiatry , pathological , pathology
Impulse control disorders in Parkinson's disease are a group of impulsive behaviors most often associated with dopaminergic treatment. Presently, there is a lack of high quality evidence available to guide their management. This manuscript reviews current management strategies, before concentrating on the concept of dopamine agonist withdrawal syndrome and its implications for the management of impulse control disorders. Further, we focus on controversies, including the role of more recently available anti‐parkinsonian drugs, and potential future approaches involving routes of drug delivery, nonpharmacological treatments (such as cognitive behavioral therapy and deep brain stimulation), and other as yet experimental strategies. © 2015 International Parkinson and Movement Disorder Society