Table 1.
Rare ICD symptoms in Parkinson's disease.
| Symptoms | Age (yr) and sex | Course of PD (yr) | Describes | Medicine (peak dose) | Source |
|---|---|---|---|---|---|
| Reckless driving | 65, male; 70, male |
9; 20 |
Impairment in driving performance associated with risk-seeking, including reckless high-speed driving. | L-dopa(-) | (14) |
| Impulsive smoking | 63, male | 7 | Urge to smoke. Pramipexol was discontinued and the abnormal symptoms disappeared. However, with switching to ropinirole, impulsive smoking developed again. | Pramipexol(6 mg/d)/Ropinirole extended release (12 mg/d) | (15) |
| Compulsive singing | 70, Female; 71, Male |
9; 5 |
Urge to sing repeatedly the same song. | L-dopa(1,268LEU); L-dopa(634 LEU) | (11) |
| Tattooing | 50, Male | – | Got tattooed seven times in 6 months and planned to make five others. | Pramipexol extended release 1.05 mg/d and rasagiline 1 mg/d | (16) |
| Stealing | 48, Female | – | Impulsive stealing. | Pramipexol (-) | (17) |
| Pet killing | 33, Male | – | Compulsive behavior of adopting and killing cats. | Pramipexol (4.5 mg/d) | (18) |
| Zoophilia | 58, Male | 20 | Attempting to have sexual intercourse with a female family dog. | Pramipexol(8 mg/d) | (19) |
PD indicates parkinson's disease. LEU indicates L-dopa equivalent units.