Neuropsychological, neuropsychiatric, and quality of life issues in DBS for dystonia
Identifieur interne : 000161 ( France/Analysis ); précédent : 000160; suivant : 000162Neuropsychological, neuropsychiatric, and quality of life issues in DBS for dystonia
Auteurs : Marjan Jahanshahi [Royaume-Uni] ; Virginie Czernecki [France] ; And Mateusz Zurowski [Canada]Source :
- Movement Disorders [ 0885-3185 ] ; 2011-06.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
- Cognition, Cognition Disorders (etiology), Cognition Disorders (therapy), DBS, Deep Brain Stimulation (adverse effects), Deep Brain Stimulation (methods), Dystonia, Dystonia (complications), Dystonia (psychology), Dystonia (therapy), Globus Pallidus (physiology), Humans, Mental Disorders (etiology), Mental Disorders (therapy), Nervous system diseases, Neuropsychological Tests, Quality of Life (psychology), Quality of life, Severity of Illness Index, Surgery, cognition, dystonia, psychiatric quality of life, surgery.
- MESH :
- adverse effects : Deep Brain Stimulation.
- complications : Dystonia.
- etiology : Cognition Disorders, Mental Disorders.
- methods : Deep Brain Stimulation.
- physiology : Globus Pallidus.
- psychology : Dystonia, Quality of Life.
- therapy : Cognition Disorders, Dystonia, Mental Disorders.
- Humans, Neuropsychological Tests, Severity of Illness Index.
Abstract
We review the impact of dystonia and its surgical treatment with deep brain stimulation (DBS) on cognitive function, psychiatric morbidity, and health‐related quality of life. The current evidence suggests that globus pallidus internus (GPi) DBS does not cause cognitive decline in primary dystonia. However, we recommend general preoperative screening of cognition in patients with dystonia to evaluate baseline cognitive status and monitor for possible postoperative changes. Patients with mild to moderate depression appear to do well postoperatively; however, there are scant data about those with severe depression. This is particularly problematic given reports of postoperative suicide. Patients with tardive dystonia seem to do well post‐GPi DBS despite often having a history of depression or even having active severe depression. We make recommendations for screening and basic management strategies of patients identified as having a major psychiatric illness pre‐ or postoperatively. Quality of life in dystonia patients quantified by generic measures such as the SF36 showed improvement in both mental and physical categories following DBS surgery. © 2011 Movement Disorder Society
Url:
DOI: 10.1002/mds.23511
Affiliations:
- Canada, France, Royaume-Uni
- Angleterre, Grand Londres, Ontario
- Londres, Paris, Toronto
- Université de Toronto
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ISTEX:731FBC3271032D7D7773FA7FF8777833F771DAE2Le document en format XML
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Quality of life in dystonia patients quantified by generic measures such as the SF36 showed improvement in both mental and physical categories following DBS surgery. © 2011 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Canada</li><li>France</li><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Ontario</li></region><settlement><li>Londres</li><li>Paris</li><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Jahanshahi, Marjan" sort="Jahanshahi, Marjan" uniqKey="Jahanshahi M" first="Marjan" last="Jahanshahi">Marjan Jahanshahi</name></region></country><country name="France"><noRegion><name sortKey="Czernecki, Virginie" sort="Czernecki, Virginie" uniqKey="Czernecki V" first="Virginie" last="Czernecki">Virginie Czernecki</name></noRegion></country><country name="Canada"><region name="Ontario"><name sortKey="Zurowski, And Mateusz" sort="Zurowski, And Mateusz" uniqKey="Zurowski A" first="And Mateusz" last="Zurowski">And Mateusz Zurowski</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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