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October 08, 2019; 93 (15) Editorial

Livin' on the edge

Risky behaviors and Parkinson disease: Genes, environment, or both?

View ORCID ProfileRodolfo Savica
First published September 16, 2019, DOI: https://doi.org/10.1212/WNL.0000000000008236
Rodolfo Savica
From the Department of Neurology, Mayo Clinic, Rochester, MN.
MD, MSc, PhD
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Livin' on the edge
Risky behaviors and Parkinson disease: Genes, environment, or both?
Rodolfo Savica
Neurology Oct 2019, 93 (15) 653-654; DOI: 10.1212/WNL.0000000000008236

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Risk behaviors are a number of activities (e.g., smoking, alcohol use, drugs use) that lead to a health hazard that are somehow not rationally controlled. However, despite the common knowledge that such behaviors can lead to long-term consequences, they provide a short-term reward that some individuals may find more fulfilling than long-term self-preservation behaviors. Dopaminergic terminals and pathways likely play a major role in such behaviors, but it is less clear whether genetic predisposition, environmental factors, or both are responsible for our decisions and behaviors. Likewise, the pathophysiology of Parkinson disease (PD) can be determined by a tight relationship among genes, environment, and dopaminergic dysfunction.

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  • © 2019 American Academy of Neurology
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