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Cited by 587

The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.

Hedonistic homeostatic dysregulation in patients with Parkinson's disease on dopamine replacement therapies

Open access
Giovannoni, G·2000·Journal of Neurology, Neurosurgery & Psychiatry

Abstract

Hedonistic homeostatic dysregulation is a neuropsychological behavioural disorder associated with substance misuse and addiction. The disorder has been recognised as a consequence of dopamine replacement therapy (DRT) in 15 patients with Parkinson's disease. The syndrome typically develops in male patients with early onset Parkinson's disease, and can occur with orally and subcutaneously administered DRT. These patients take increasing quantities of their DRT, despite increasingly severe drug induced dyskinesias, and may develop a cyclical mood disorder with hypomania or manic psychosis. There is impairment of social and occupational functioning. Tolerance develops to mood elevating effects of DRT and a negative affective withdrawal state occurs if the drugs are withdrawn or doses decreased. The clinical features and guidelines for managing this syndrome are discussed. A set of diagnostic criteria for further investigating this condition is proposed.

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Metadata

Authors
Giovannoni, G.
Venue
Journal of Neurology, Neurosurgery & Psychiatry
Publisher
BMJ
Published
2000-04-01
Volume
68
Issue
4
Pages
423-428
ISSN
0022-3050 (ISSN-L)
OpenAlex
W2152767944
Cited by
587
References
36
FWCI
5.55
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Hedonistic homeostatic dysregulation in patients with Parkinson's disease on dopamine replacement therapies. https://app.cochat.ai/papers/10.1136/jnnp.68.4.423
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Giovannoni, G. (2000). Hedonistic homeostatic dysregulation in patients with Parkinson's disease on dopamine replacement therapies. Journal of Neurology, Neurosurgery & Psychiatry. https://doi.org/10.1136/jnnp.68.4.423

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.