Impulse control and PD Quick hits AAN 2008

1. Patients with PD showed altered decision making under ambiguity but had preserved decision making under risk conditions with explicit rules for gains and loss.
2. Acamprosate was used to treat impulse control disorders in 2 patients with PD in whom discontinuation of dopaminergic drugs did not help. It worked
3. Topiramate was used in 8 Spanish patients to reduce ICD and it appeared to work.
4. The ICD spectrum included pathological gambling, hypersexuality, shopping, computer use and binge craving of sweets, which should be specifically sought in the history taking.

AAN 2010
Hoarding may be a component of the syndrome