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Disturbance of the basal ganglia\u2010thalamo\u2010cortical circuit has long been considered the cause of involuntary movements. Impairment of the gating function of the basal ganglia can cause an aberrant output toward the thalamus, which in turn leads to excessive activation of the cerebral cortex. Structural and functional abnormalities in the basal ganglia, thalamus, and cortex and abnormal connections between these brain regions have been found in patients with PKD. Recent studies have highlighted the role of the cerebellum in PKD. Insufficient suppression from the cerebellar cortex to the deep cerebellar nuclei could lead to overexcitation of the thalamocortical pathway. Therefore, this literature review aims to provide a comprehensive overview of the current research progress to explore the neural circuits and pathogenesis of PKD and promote further understanding and outlook on the pathophysiological mechanism of movement disorders. \u00a9 2023 International Parkinson and Movement Disorder Society.<\/jats:p>","DOI":"10.1002\/mds.29326","type":"journal-article","created":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T05:34:43Z","timestamp":1675143283000},"page":"537-544","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["The Pathogenesis of Paroxysmal Kinesigenic Dyskinesia: Current Concepts"],"prefix":"10.1002","volume":"38","author":[{"given":"Zi\u2010yi","family":"Li","sequence":"first","affiliation":[{"name":"Department of Neurology Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine  Shanghai 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