[Stitcher]

Parkinson's tie to impulsiveness studied

Story Published: Oct 25, 2007 at 11:27 AM PDT
Story Updated: Oct 25, 2007 at 11:27 AM PDT

By Associated Press

WASHINGTON (AP) -- Your brain is supposed to fire a ''hold your horses'' signal when faced with a tough choice. But a brain implant that stops the tremors of Parkinson's disease may block that signal -- a new explanation for why some Parkinson's patients become hugely impulsive.

Scientists have long known that anti-Parkinson medications occasionally spark compulsions like pathological gambling.

Research published Thursday found another treatment, a pacemaker-like brain implant, can trigger a completely different kind of impulsiveness.

How different? The drugs leave a subset of patients unlikely to learn from bad experiences, like a losing poker hand.

The brain implant doesn't hinder learning. In contrast, those patients can make hasty decisions as the brain loses its automatic tendency to hesitate when faced with conflict, University of Arizona researchers reported online in the journal Science.

In fact, the first patient they studied displayed an alarming example when he saw something across the room he wanted and tried to dash over without his wheelchair. Neuroscientist Michael Frank had to catch the man before he fell.

''Deep brain stimulation,'' or DBS, involves placing electrodes into a small region called the subthalamic nucleus, an area important for controlling movement. But it also is where scientists believe the brain yells: ''Stop, weigh your options!''

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[chasmo]

I have not heard of anyone complain of this behavior. Lots of complaints with agonists but not DBS. I'll ask the folks in the DBS Surgeries group if any have experienced this.

Charlie