Deep brain stimulation: neuropsychological and neuropsychiatric issues.
Identifieur interne : 000655 ( Ncbi/Curation ); précédent : 000654; suivant : 000656Deep brain stimulation: neuropsychological and neuropsychiatric issues.
Auteurs : Valerie Voon [Canada] ; Cynthia Kubu ; Paul Krack ; Jean-Luc Houeto ; Alexander I. TrösterSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2006.
English descriptors
- KwdEn :
- Cognition Disorders (diagnosis), Cognition Disorders (etiology), Deep Brain Stimulation (instrumentation), Depression (diagnosis), Depression (etiology), Depression (therapy), Hallucinations (diagnosis), Hallucinations (etiology), Hallucinations (therapy), Humans, Neuropsychological Tests, Parkinson Disease (complications), Parkinson Disease (therapy), Postoperative Complications, Subthalamic Nucleus (physiology), Thalamus (physiology).
- MESH :
- complications : Parkinson Disease.
- diagnosis : Cognition Disorders, Depression, Hallucinations.
- etiology : Cognition Disorders, Depression, Hallucinations.
- instrumentation : Deep Brain Stimulation.
- physiology : Subthalamic Nucleus, Thalamus.
- therapy : Depression, Hallucinations, Parkinson Disease.
- Humans, Neuropsychological Tests, Postoperative Complications.
Abstract
Parkinson's disease (PD) is a neurodegenerative disorder characterized by motor, cognitive, neuropsychiatric, autonomic, and other nonmotor symptoms. The efficacy of deep brain stimulation (DBS) for the motor symptoms of advanced PD is well established. However, the effects of DBS on the cognitive and neuropsychiatric symptoms are less clear. The neuropsychiatric aspects of DBS for PD have recently been of considerable clinical and pathophysiological interest. As a companion to the preoperative and postoperative sections of the DBS consensus articles, this article reviews the published literature on the cognitive and neuropsychiatric aspects of DBS for PD. The majority of the observed neuropsychiatric symptoms are transient, treatable, and potentially preventable. Outcome studies, methodological issues, pathophysiology, and preoperative and postoperative management of the cognitive and neuropsychiatric aspects and complications of DBS for PD are discussed.
DOI: 10.1002/mds.20963
PubMed: 16810676
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pubmed:16810676Le document en format XML
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<author><name sortKey="Voon, Valerie" sort="Voon, Valerie" uniqKey="Voon V" first="Valerie" last="Voon">Valerie Voon</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry, Toronto Western Hospital, Toronto, Canada. voonv@ninds.nih.gov</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Psychiatry, Toronto Western Hospital, Toronto</wicri:regionArea>
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<author><name sortKey="Kubu, Cynthia" sort="Kubu, Cynthia" uniqKey="Kubu C" first="Cynthia" last="Kubu">Cynthia Kubu</name>
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<author><name sortKey="Krack, Paul" sort="Krack, Paul" uniqKey="Krack P" first="Paul" last="Krack">Paul Krack</name>
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<author><name sortKey="Houeto, Jean Luc" sort="Houeto, Jean Luc" uniqKey="Houeto J" first="Jean-Luc" last="Houeto">Jean-Luc Houeto</name>
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<author><name sortKey="Krack, Paul" sort="Krack, Paul" uniqKey="Krack P" first="Paul" last="Krack">Paul Krack</name>
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<author><name sortKey="Houeto, Jean Luc" sort="Houeto, Jean Luc" uniqKey="Houeto J" first="Jean-Luc" last="Houeto">Jean-Luc Houeto</name>
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<term>Cognition Disorders (etiology)</term>
<term>Deep Brain Stimulation (instrumentation)</term>
<term>Depression (diagnosis)</term>
<term>Depression (etiology)</term>
<term>Depression (therapy)</term>
<term>Hallucinations (diagnosis)</term>
<term>Hallucinations (etiology)</term>
<term>Hallucinations (therapy)</term>
<term>Humans</term>
<term>Neuropsychological Tests</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (therapy)</term>
<term>Postoperative Complications</term>
<term>Subthalamic Nucleus (physiology)</term>
<term>Thalamus (physiology)</term>
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<term>Depression</term>
<term>Hallucinations</term>
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<term>Depression</term>
<term>Hallucinations</term>
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<front><div type="abstract" xml:lang="en">Parkinson's disease (PD) is a neurodegenerative disorder characterized by motor, cognitive, neuropsychiatric, autonomic, and other nonmotor symptoms. The efficacy of deep brain stimulation (DBS) for the motor symptoms of advanced PD is well established. However, the effects of DBS on the cognitive and neuropsychiatric symptoms are less clear. The neuropsychiatric aspects of DBS for PD have recently been of considerable clinical and pathophysiological interest. As a companion to the preoperative and postoperative sections of the DBS consensus articles, this article reviews the published literature on the cognitive and neuropsychiatric aspects of DBS for PD. The majority of the observed neuropsychiatric symptoms are transient, treatable, and potentially preventable. Outcome studies, methodological issues, pathophysiology, and preoperative and postoperative management of the cognitive and neuropsychiatric aspects and complications of DBS for PD are discussed.</div>
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