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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 > > Mov Disord. <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>, > Friedman > JH<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#> > LinkOut - more resources <http://www.ncbi.nlm.nih.gov/pubmed/10495047#> > > ---------------------------------------------------------------------- > To sign-off Parkinsn send a message to: > mailto:[log in to unmask] > In the body of the message put: signoff parkinsn This electronic communication is governed by the terms and conditions at http://www.mun.ca/cc/policies/electronic_communications_disclaimer_2012.php ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn