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Thank you, John! And thanks to Denise.

Kathleen

On Monday, June 3, 2013, John Rutherford wrote:

> I attach-a reply from Denise Murphy who ist the  neurological--nurse at
> the--Movement Disorders Clinic  here in St. John's, Newfoundland .
> John Rutherford             Original Message ----- From: <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Sunday, June 02, 2013 8:20 PM
> Subject: RE: anyone heard of "punding"?
>
>
> Hi John
> We see it occur with patients on dopamine agonists.Sometimes the punding
> coud be doing many projects but they are unable to complete any of the
> projects.Usually they improve when the medication is decreased.
> Denise
>
> ______________________________**__________
> From: John Rutherford [[log in to unmask]]
> Sent: Sunday, June 02, 2013 5:19 PM
> To: Murphy, Denise
> Cc: Patricia Morrissey; Joyce Gordon; Parsons, Ean
> Subject: Fw: anyone heard of "punding"?
>
> Well, have you? John R.----- Original Message -----
> From: "Kathleen Cochran" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Friday, May 31, 2013 12:02 PM
> Subject: anyone heard of "punding"?
>
>
>  http://www.ncbi.nlm.nih.gov/**pubmed/10495047<http://www.ncbi.nlm.nih.gov/pubmed/10495047>
>>
>> Mov Disord. <http://www.ncbi.nlm.nih.gov/**pubmed/10495047#<http://www.ncbi.nlm.nih.gov/pubmed/10495047#>>
>> 1999
>> Sep;14(5):836-8.
>> Punding on L-dopa.
>> Fernandez
>> HH<http://www.ncbi.nlm.nih.**gov/pubmed?term=Fernandez%**
>> 20HH%5BAuthor%5D&cauthor=true&**cauthor_uid=10495047<http://www.ncbi.nlm.nih.gov/pubmed?term=Fernandez%20HH%5BAuthor%5D&cauthor=true&cauthor_uid=10495047>
>> >,
>> Friedman
>> JH<http://www.ncbi.nlm.nih.**gov/pubmed?term=Friedman%20JH%**
>> 5BAuthor%5D&cauthor=true&**cauthor_uid=10495047<http://www.ncbi.nlm.nih.gov/pubmed?term=Friedman%20JH%5BAuthor%5D&cauthor=true&cauthor_uid=10495047>
>> >
>> .
>> Source
>>
>> Department of Neurology, Brown University School of Medicine, Memorial
>> Hospital of Rhode Island, Pawtucket 02860, USA.
>> Abstract
>>
>> "Punding" is a stereotypical motor behavior in which there is an intense
>> fascination with repetitive handling and examining of mechanical objects,
>> such as picking at oneself or taking apart watches and radios or sorting
>> and arranging of common objects, such as lining up pebbles, rocks, or
>> other
>> small objects. It is thought to be dopamine-related although only a single
>> report of punding in a patient with Parkinson's disease (PD) resulting
>> from
>> L-dopa has been reported. We describe three additional cases. All were
>> women aged 65-72 years with a PD duration between 10 and 20 years, on
>> 500-1900 mg L-dopa per day. One spent hours in the market fascinated by
>> cans. At home she endlessly examined and catalogued her jewelry. Another
>> picked threads in rugs indoors and weeded her garden compulsively to the
>> point of wetting herself rather than stopping. The third hoarded
>> flashlights taking them apart and reassembling them. All improved with
>> reduction of their anti-PD medications. We think punding is an uncommon
>> but
>> overlooked complication of dopaminergic drugs.
>> PMID:10495047 [PubMed - indexed for MEDLINE]
>> Publication Types, MeSH Terms,
>> Substances<http://www.ncbi.**nlm.nih.gov/pubmed/10495047#<http://www.ncbi.nlm.nih.gov/pubmed/10495047#>
>> >
>> LinkOut - more resources <http://www.ncbi.nlm.nih.gov/**pubmed/10495047#<http://www.ncbi.nlm.nih.gov/pubmed/10495047#>
>> >
>>
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-- 
Kathleen Cochran
64 Hickory Hill Lane
Tappan, NY 10983

845-680-6136
914-715-3545 (mobile)

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