Hypomania as an adverse effect of subthalamic nucleus stimulation: report of two cases.
Identifieur interne : 001151 ( PubMed/Curation ); précédent : 001150; suivant : 001152Hypomania as an adverse effect of subthalamic nucleus stimulation: report of two cases.
Auteurs : T S Mandat [Canada] ; T. Hurwitz ; C R HoneySource :
- Acta neurochirurgica [ 0001-6268 ] ; 2006.
English descriptors
- KwdEn :
- Aged, Basal Ganglia, Deep Brain Stimulation (adverse effects), Depressive Disorder (etiology), Depressive Disorder (physiopathology), Electrodes, Implanted (adverse effects), Functional Laterality (physiology), Humans, Male, Middle Aged, Neural Pathways (physiopathology), Neural Pathways (surgery), Parkinson Disease (therapy), Postoperative Complications (etiology), Postoperative Complications (physiopathology), Postoperative Complications (prevention & control), Subthalamic Nucleus (physiopathology), Subthalamic Nucleus (surgery), Treatment Outcome.
- MESH :
- adverse effects : Deep Brain Stimulation, Electrodes, Implanted.
- etiology : Depressive Disorder, Postoperative Complications.
- physiology : Functional Laterality.
- physiopathology : Depressive Disorder, Neural Pathways, Postoperative Complications, Subthalamic Nucleus.
- prevention & control : Postoperative Complications.
- surgery : Neural Pathways, Subthalamic Nucleus.
- therapy : Parkinson Disease.
- Aged, Basal Ganglia, Humans, Male, Middle Aged, Treatment Outcome.
Abstract
Mania following subthalamic nucleus (STN) deep brain stimulation (DBS) is well described and obvious to both the patient and their physician. The authors describe two patients who developed hypomania following STN-DBS but were unaware of their mood disturbance. Two Parkinson's patients with no previous mood disorders received bilateral STN electrodes. Both experienced dramatic improvement in their motor function and neither complained of any side effects. Their families reported detrimental hypomanic behaviour. Readjusting the stimulation parameters resolved the hypomania with continued motor benefits. The authors draw attention to potential adverse effects of STN-DBS that might be neglected by patients.
DOI: 10.1007/s00701-006-0795-4
PubMed: 16763733
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pubmed:16763733Le document en format XML
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<term>Depressive Disorder (physiopathology)</term>
<term>Electrodes, Implanted (adverse effects)</term>
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<term>Parkinson Disease (therapy)</term>
<term>Postoperative Complications (etiology)</term>
<term>Postoperative Complications (physiopathology)</term>
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<term>Subthalamic Nucleus (physiopathology)</term>
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<front><div type="abstract" xml:lang="en">Mania following subthalamic nucleus (STN) deep brain stimulation (DBS) is well described and obvious to both the patient and their physician. The authors describe two patients who developed hypomania following STN-DBS but were unaware of their mood disturbance. Two Parkinson's patients with no previous mood disorders received bilateral STN electrodes. Both experienced dramatic improvement in their motor function and neither complained of any side effects. Their families reported detrimental hypomanic behaviour. Readjusting the stimulation parameters resolved the hypomania with continued motor benefits. The authors draw attention to potential adverse effects of STN-DBS that might be neglected by patients.</div>
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<Title>Acta neurochirurgica</Title>
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<Abstract><AbstractText>Mania following subthalamic nucleus (STN) deep brain stimulation (DBS) is well described and obvious to both the patient and their physician. The authors describe two patients who developed hypomania following STN-DBS but were unaware of their mood disturbance. Two Parkinson's patients with no previous mood disorders received bilateral STN electrodes. Both experienced dramatic improvement in their motor function and neither complained of any side effects. Their families reported detrimental hypomanic behaviour. Readjusting the stimulation parameters resolved the hypomania with continued motor benefits. The authors draw attention to potential adverse effects of STN-DBS that might be neglected by patients.</AbstractText>
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