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Management of impulse control disorders in Parkinson's disease: Controversies and future approaches

Research output: Contribution to journalArticle

Michael Samuel, Maria Rodriguez-Oroz, Angelo Antonini, Jonathan M Brotchie, Kallol Ray Chaudhuri, Richard G Brown, Wendy R Galpern, Melissa J Nirenberg, Michael S Okun, Anthony E Lang

Original languageEnglish
Pages (from-to)150-159
Number of pages10
JournalMovement disorders : official journal of the Movement Disorder Society
Issue number2
StatePublished - Feb 2015

King's Authors


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.

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