4.7 Article

Management of punding in Parkinson's disease: an open-label prospective study

Journal

JOURNAL OF NEUROLOGY
Volume 258, Issue 4, Pages 656-660

Publisher

SPRINGER HEIDELBERG
DOI: 10.1007/s00415-010-5817-8

Keywords

Amantadine; Parkinson's disease; Punding; Therapy

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Punding, a peculiar stereotyped behavior characterized by intense fascination with complex, excessive, non-goal-oriented, repetitive activities, is a quite rare condition complicating Parkinson's disease (PD). It is triggered by dopaminergic therapy and could have a strong impact on patient quality of life. No study has specifically investigated medical management of this condition, and only a few anecdotal reports have provided therapeutic hints. Given the suggested similarities to drug-induced dyskinesias, we have previously suggested a multistep algorithm for management of punding. We conducted a prospective open-label study on ten PD punders aimed at testing its validity. In two cases, reduction of levodopa therapy was efficacious; amantadine was effective in controlling punding in four cases; in the remaining cases, quetiapine was employed, with mild efficacy in two cases.

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