Punding following posterior cerebral artery infarction: a case report and review of literature

Cho-I Lin,1 Yu-Ching Lin,1–3 Wei-Chih Lien,1 Pei-Chun Hsieh,1 Sheng-Han Lin,1 Ta-Shen Kuan1,2 1Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; 2Department of Physical Medicine...

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Autores principales:	Lin CI, Lin YC, Lien WC, Hsieh PC, Lin SH, Kuan TS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	punding stereotyped behavior stroke quetiapine clonazepam Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/126de2134d29430ab626e1a0b91ecc0f
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spelling	oai:doaj.org-article:126de2134d29430ab626e1a0b91ecc0f2021-12-02T11:42:22ZPunding following posterior cerebral artery infarction: a case report and review of literature1178-2021https://doaj.org/article/126de2134d29430ab626e1a0b91ecc0f2017-03-01T00:00:00Zhttps://www.dovepress.com/punding-following-posterior-cerebral-artery-infarction-a-case-report-a-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Cho-I Lin,1 Yu-Ching Lin,1–3 Wei-Chih Lien,1 Pei-Chun Hsieh,1 Sheng-Han Lin,1 Ta-Shen Kuan1,2 1Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; 2Department of Physical Medicine and Rehabilitation, College of Medicine, National Cheng Kung University, Tainan, Taiwan; 3Medical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan Introduction: Punding is a complex stereotyped behavior, characterized by excessiveness, non-goal orientation, and repetitiveness. It is mostly associated with Parkinson’s disease, and very few cases in non-Parkinson’s disease have been reported. We report a case of punding associated with supratentorial ischemic stroke.Case presentation: We present a 70-year-old man with left posterior cerebral artery infarction with quetiapine-induced punding manifesting as repetitive unidirectional body turning. Remission of punding behavior ensued after cessation of quetiapine and administration of clonazepam.Conclusion: This case describes the clinical course of quetiapine-induced punding in a patient with left posterior cerebral artery infarction. It suggests clonazepam may serve as a treatment option for poststroke punding. Keywords: punding, stereotyped behavior, stroke, quetiapine, clonazepamLin CILin YCLien WCHsieh PCLin SHKuan TSDove Medical Pressarticlepundingstereotyped behaviorstrokequetiapineclonazepamNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 981-985 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	punding stereotyped behavior stroke quetiapine clonazepam Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	punding stereotyped behavior stroke quetiapine clonazepam Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Lin CI Lin YC Lien WC Hsieh PC Lin SH Kuan TS Punding following posterior cerebral artery infarction: a case report and review of literature
description	Cho-I Lin,1 Yu-Ching Lin,1–3 Wei-Chih Lien,1 Pei-Chun Hsieh,1 Sheng-Han Lin,1 Ta-Shen Kuan1,2 1Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; 2Department of Physical Medicine and Rehabilitation, College of Medicine, National Cheng Kung University, Tainan, Taiwan; 3Medical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan Introduction: Punding is a complex stereotyped behavior, characterized by excessiveness, non-goal orientation, and repetitiveness. It is mostly associated with Parkinson’s disease, and very few cases in non-Parkinson’s disease have been reported. We report a case of punding associated with supratentorial ischemic stroke.Case presentation: We present a 70-year-old man with left posterior cerebral artery infarction with quetiapine-induced punding manifesting as repetitive unidirectional body turning. Remission of punding behavior ensued after cessation of quetiapine and administration of clonazepam.Conclusion: This case describes the clinical course of quetiapine-induced punding in a patient with left posterior cerebral artery infarction. It suggests clonazepam may serve as a treatment option for poststroke punding. Keywords: punding, stereotyped behavior, stroke, quetiapine, clonazepam
format	article
author	Lin CI Lin YC Lien WC Hsieh PC Lin SH Kuan TS
author_facet	Lin CI Lin YC Lien WC Hsieh PC Lin SH Kuan TS
author_sort	Lin CI
title	Punding following posterior cerebral artery infarction: a case report and review of literature
title_short	Punding following posterior cerebral artery infarction: a case report and review of literature
title_full	Punding following posterior cerebral artery infarction: a case report and review of literature
title_fullStr	Punding following posterior cerebral artery infarction: a case report and review of literature
title_full_unstemmed	Punding following posterior cerebral artery infarction: a case report and review of literature
title_sort	punding following posterior cerebral artery infarction: a case report and review of literature
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/126de2134d29430ab626e1a0b91ecc0f
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Punding following posterior cerebral artery infarction: a case report and review of literature

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