Mood disorder following DBS of the left amygdaloid region in a dystonia patient with a dislodged electrode
Identifieur interne : 002761 ( Main/Exploration ); précédent : 002760; suivant : 002762Mood disorder following DBS of the left amygdaloid region in a dystonia patient with a dislodged electrode
Auteurs : Sylvie Piacentini [Italie] ; Luigi Romito [Italie] ; Angelo Franzini [Italie] ; Alberto Granato [Italie] ; Giovanni Broggi [Italie] ; Alberto Albanese [Italie]Source :
- Movement Disorders [ 0885-3185 ] ; 2008-01.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Amygdala, Deep Brain Stimulation (adverse effects), Deep brain stimulation, Depression, Dystonia, Dystonia (therapy), Electrodes, Electrodes, Implanted, Equipment Failure, Functional Laterality (physiology), Human, Humans, Male, Mood Disorders (diagnosis), Mood Disorders (etiology), Mood Disorders (psychology), Mood disorder, Nervous system diseases, Pallidum, amygdala, deep brain stimulation, depression, dystonia, globus pallidum.
- MESH :
- adverse effects : Deep Brain Stimulation.
- diagnosis : Mood Disorders.
- etiology : Mood Disorders.
- physiology : Functional Laterality.
- psychology : Mood Disorders.
- therapy : Dystonia.
- Adult, Amygdala, Electrodes, Implanted, Equipment Failure, Humans, Male.
Abstract
Continuous high‐frequency stimulation of the globus pallidum internum (GPi) is an accepted treatment for patients with primary dystonia. In a series of 18 consecutive dystonia cases that were successfully treated by bilateral GPi stimulation, 1 patient had an adverse event involving the downward migration of the electrodes. He developed remarkable behavioral complications and was found to have dislodgement of the left electrode to a position close to the left amygdala. The patient developed behavioral changes consisting of depression, psychotic symptoms, and heightened pain perception. This syndrome reverted when the left electrode was removed and a new one inserted in the correct position. We describe in detail the clinical features associated with left amygdala dysregulation induced by high‐frequency stimulation through the displaced electrode. © 2007 Movement Disorder Society
Url:
DOI: 10.1002/mds.21805
Affiliations:
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Le document en format XML
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2008-01">2008-01</date><biblScope unit="vol">23</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="147">147</biblScope><biblScope unit="page" to="150">150</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">A6790EE463E80C646FB2738D3285B31FD5A43BC8</idno><idno type="DOI">10.1002/mds.21805</idno><idno type="ArticleID">MDS21805</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Amygdala</term><term>Deep Brain Stimulation (adverse effects)</term><term>Deep brain stimulation</term><term>Depression</term><term>Dystonia</term><term>Dystonia (therapy)</term><term>Electrodes</term><term>Electrodes, Implanted</term><term>Equipment Failure</term><term>Functional Laterality (physiology)</term><term>Human</term><term>Humans</term><term>Male</term><term>Mood Disorders (diagnosis)</term><term>Mood Disorders (etiology)</term><term>Mood Disorders (psychology)</term><term>Mood disorder</term><term>Nervous system diseases</term><term>Pallidum</term><term>amygdala</term><term>deep brain stimulation</term><term>depression</term><term>dystonia</term><term>globus pallidum</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Mood Disorders</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Mood Disorders</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Functional Laterality</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Mood Disorders</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Dystonia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Amygdala</term><term>Electrodes, Implanted</term><term>Equipment Failure</term><term>Humans</term><term>Male</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Amygdale</term><term>Dystonie</term><term>Electrode</term><term>Etat dépressif</term><term>Homme</term><term>Pallidum</term><term>Pathologie du système nerveux</term><term>Stimulation cérébrale profonde</term><term>Trouble de l'humeur</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Continuous high‐frequency stimulation of the globus pallidum internum (GPi) is an accepted treatment for patients with primary dystonia. In a series of 18 consecutive dystonia cases that were successfully treated by bilateral GPi stimulation, 1 patient had an adverse event involving the downward migration of the electrodes. He developed remarkable behavioral complications and was found to have dislodgement of the left electrode to a position close to the left amygdala. The patient developed behavioral changes consisting of depression, psychotic symptoms, and heightened pain perception. This syndrome reverted when the left electrode was removed and a new one inserted in the correct position. We describe in detail the clinical features associated with left amygdala dysregulation induced by high‐frequency stimulation through the displaced electrode. © 2007 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Piacentini, Sylvie" sort="Piacentini, Sylvie" uniqKey="Piacentini S" first="Sylvie" last="Piacentini">Sylvie Piacentini</name></noRegion><name sortKey="Albanese, Alberto" sort="Albanese, Alberto" uniqKey="Albanese A" first="Alberto" last="Albanese">Alberto Albanese</name><name sortKey="Albanese, Alberto" sort="Albanese, Alberto" uniqKey="Albanese A" first="Alberto" last="Albanese">Alberto Albanese</name><name sortKey="Broggi, Giovanni" sort="Broggi, Giovanni" uniqKey="Broggi G" first="Giovanni" last="Broggi">Giovanni Broggi</name><name sortKey="Franzini, Angelo" sort="Franzini, Angelo" uniqKey="Franzini A" first="Angelo" last="Franzini">Angelo Franzini</name><name sortKey="Granato, Alberto" sort="Granato, Alberto" uniqKey="Granato A" first="Alberto" last="Granato">Alberto Granato</name><name sortKey="Romito, Luigi" sort="Romito, Luigi" uniqKey="Romito L" first="Luigi" last="Romito">Luigi Romito</name><name sortKey="Romito, Luigi" sort="Romito, Luigi" uniqKey="Romito L" first="Luigi" last="Romito">Luigi Romito</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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