Pathologic Gambling in Parkinson Disease

J Korean Neurol Assoc > Volume 26(2); 2008 > Article

Journal of the Korean Neurological Association 2008;26(2): 149-151.

파킨슨병 환자의 병적 도박

이선아, 안태범 이영하 이도경 김준현

경희대학교 의과대학 신경과학교실

Pathologic Gambling in Parkinson Disease

Sun A Lee

Department of Neurology, College of Medicine KyungHee University, Seoul, Korea

Abstract

Pathologic gambling (PG) is an impulse control disorder (ICD) or dopamine dysregulation syndrome (DDS) in patients with Parkinson disease (PD). ICD/DDS is presumed to be related to dopaminergic treatment in PD. Although increasing number of patients with ICD/DDS is being reported, ICD/DDS such as PG has not been reported in Korean PD patients. We describe a PD patient who developed PG secondary to dose adjustment of levodopa and pramipexole. His symptoms was controlled by reducing the dopaminergic drugs and adding a small amount of atypical antipsychotics. KeyWords:Impulse control disorder, Pathologic gambling, Dopaminergic medication