Compulsive drumming induced by dopamine agonists in Parkinson's disease: Another aspect of punding

Issue title: Relationships among cognitive, behavioral and psychiatric symptoms in Parkinson's disease

Article type: Research Article

Authors: Vitale, Carmine^; | Trojano, Luigi | Barone, Paolo | Errico, Domenico^; | Agosti, Valeria^; | Sorrentino, Giuseppe^; | Grossi, Dario | Santangelo, Gabriella^;

Affiliations: University "Parthenope", Naples, Italy | Istituto di Diagnosi e Cura "Hermitage Capodimonte", Naples, Italy | Department of Psychology, Second University of Naples, Caserta, Italy | Neurodegenerative Center Diseases, University of Salerno, Salerno, Italy

Note: [] Corresponding author: Carmine Vitale, MD, University of Naples "Parthenope", Naples, Italy. Tel.: +39 081 7483001; E-mail: cavit69@hotmail.com

Abstract: We report the case of a man affected by Parkinson's disease who developed an unusual, severe, repetitive behavior characterized by an irrepressible need to drum and beat percussion instruments following to the introduction of pramipexole. This compulsive behavior was not associated to a pattern of chronic inappropriate overuse of dopaminergic medication or other psychiatric symptoms. Sharing many features with other repetitive behaviors, compulsive drumming might be considered a distinct manifestation of punding in Parkinson's disease.

Keywords: Punding, Parkinson's disease, pramipexole

DOI: 10.3233/BEN-129024

Journal: Behavioural Neurology, vol. 27, no. 4, pp. 559-562, 2013