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Behavioural Neurology
Volume 27, Issue 4, Pages 559-562
Clinical Note

Compulsive Drumming Induced by Dopamine Agonists in Parkinson’s Disease: Another Aspect of Punding

Carmine Vitale,1,2 Luigi Trojano,3 Paolo Barone,4 Domenico Errico,2,3 Valeria Agosti,1,2 Giuseppe Sorrentino,1,2 Dario Grossi,3 and Gabriella Santangelo2,3

1University “Parthenope”, Naples, Italy
2Istituto di Diagnosi e Cura “Hermitage Capodimonte”, Naples, Italy
3Department of Psychology, Second University of Naples, Caserta, Italy
4Neurodegenerative Center Diseases, University of Salerno, Salerno, Italy

Received 10 December 2012; Accepted 10 December 2012

Copyright © 2013 Hindawi Publishing Corporation and the authors. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report the case of a man affected by Parkinson’s disease who developed an unusual, severe, repetitive behavior characterized by an irrepressible need to drum and beat percussion instruments following to the introduction of pramipexole. This compulsive behavior was not associated to a pattern of chronic inappropriate overuse of dopaminergic medication or other psychiatric symptoms. Sharing many features with other repetitive behaviors, compulsive drumming might be considered a distinct manifestation of punding in Parkinson’s disease.