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Methcathinone-induced Parkinsonism is a recently described extrapyramidal syndrome characterized by globus pallidus and substantia nigra lesions, which provides a unique model of basal ganglia dysfunction. We assessed motivated behaviour in this condition using a novel cost-benefit decision-making task, in which participants decided whether it was worth investing effort for reward. Patients showed a dissociation between reward and effort sensitivity, such that pallidonigral complex dysfunction caused them to become less sensitive to rewards, while normal sensitivity to effort costs was maintained.

Original publication

DOI

10.1111/jnp.12122

Type

Journal article

Journal

J Neuropsychol

Publication Date

06/2018

Volume

12

Pages

291 - 297

Keywords

Parkinsonism, effort, methcathinone, motivation, reward