title: Dopamine inhibition and the adaptation of behavior to ongoing reality.
abstract: Spontaneous confabulation is a rare memory disorder resulting from orbitofrontal damage or disconnection. Patients act on the basis of memories that do not pertain to the current situation, and are disoriented. No medical treatment is known. Recent studies suggest that subcortical dopaminergic structures are involved in the selection of currently relevant memories. We present a patient who regained the ability to adapt thought and behavior to ongoing reality when treated with risperidone, a dopamine antagonist.
authors.affiliation: Department of Neurology, Division of Neuropsychological Rehabilitation, University Hospital, Bern, Switzerland. hans.pihan@insel.ch
authors.forename: Hans
authors.initials: H
authors.lastname: Pihan
authors.forename: Klemens
authors.initials: K
authors.lastname: Gutbrod
authors.forename: Ulrike
authors.initials: U
authors.lastname: Baas
authors.forename: Armin
authors.initials: A
authors.lastname: Schnider
mesh_terms: D000222:Adaptation, Physiological / Q000187:drug effects / Q000502:physiology; D001519:Behavior / Q000187:drug effects / Q000502:physiology; D002543:Cerebral Hemorrhage / Q000150:complications / Q000473:pathology / Q000503:physiopathology; D004298:Dopamine / Q000378:metabolism*; D018492:Dopamine Antagonists / Q000494:pharmacology*; D004305:Dose-Response Relationship, Drug; D006801:Humans; D008032:Limbic System / Q000187:drug effects / Q000378:metabolism / Q000503:physiopathology; D008297:Male; D008569:Memory Disorders / Q000188:drug therapy* / Q000473:pathology / Q000503:physiopathology; D009433:Neural Inhibition / Q000187:drug effects* / Q000502:physiology; D009434:Neural Pathways / Q000187:drug effects / Q000378:metabolism / Q000503:physiopathology; D017397:Prefrontal Cortex / Q000187:drug effects* / Q000473:pathology / Q000503:physiopathology; D020127:Recovery of Function / Q000187:drug effects / Q000502:physiology; D018967:Risperidone / Q000494:pharmacology* / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D018492:Dopamine Antagonists; D018967:Risperidone; D004298:Dopamine