Mirthful laughter induced by subthalamic nucleus stimulation
Identifieur interne : 004753 ( Main/Exploration ); précédent : 004752; suivant : 004754Mirthful laughter induced by subthalamic nucleus stimulation
Auteurs : Paul Krack [France, Allemagne] ; Rajeev Kumar [États-Unis] ; Claire Ardouin [France] ; Patricia Limousin Dowsey [France, Royaume-Uni] ; John M. Mcvicker [États-Unis] ; Alim-Louis Benabid [France] ; Pierre Pollak [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2001-09.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Adulte.
English descriptors
- KwdEn :
- Adult, Affect, Affect affectivity, Case study, Complication, Dyskinesia, Electric Stimulation Therapy (psychology), Electrical stimulus, Electrodes, Implanted, Humans, Instrumentation therapy, Laughter, Male, Middle Aged, Parkinson Disease (physiopathology), Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Subthalamic Nucleus (physiopathology), Subthalamic nucleus, deep brain stimulation, laughter, subthalamic nucleus.
- MESH :
- physiopathology : Parkinson Disease, Subthalamic Nucleus.
- psychology : Electric Stimulation Therapy.
- therapy : Parkinson Disease.
- Affect, Electrodes, Implanted, Humans, Laughter, Male, Middle Aged.
Abstract
High‐frequency stimulation of the subthalamic nucleus (STN) improves the motor signs of Parkinson's disease (PD). The three main components (motor, associative, and limbic) of the cortical‐basal ganglia‐cortical circuits pass through the STN. It is not known whether STN stimulation can influence the limbic loop. We present two PD patients in whom acute stimulation of an electrode located in the STN using high stimulation parameters (50% higher than therapeutic) induced funny associations, leading to infectious laughter and hilarity, whereas the therapeutic parameters induced a hypomanic behavior and marked improvement of akinesia. Our report suggests that the STN, with its sensorimotor, cognitive, and limbic parts is not only involved in motor, but also in psychomotor regulation. © 2001 Movement Disorder Society.
Url:
DOI: 10.1002/mds.1174
Affiliations:
- Allemagne, France, Royaume-Uni, États-Unis
- Angleterre, Auvergne-Rhône-Alpes, Colorado, Grand Londres, Rhône-Alpes, Schleswig-Holstein
- Grenoble, Kiel, Londres
- Centre hospitalier universitaire Grenoble Alpes
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Le document en format XML
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<term>Dyskinesia</term>
<term>Electric Stimulation Therapy (psychology)</term>
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<term>Instrumentation therapy</term>
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<term>Male</term>
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<front><div type="abstract" xml:lang="en">High‐frequency stimulation of the subthalamic nucleus (STN) improves the motor signs of Parkinson's disease (PD). The three main components (motor, associative, and limbic) of the cortical‐basal ganglia‐cortical circuits pass through the STN. It is not known whether STN stimulation can influence the limbic loop. We present two PD patients in whom acute stimulation of an electrode located in the STN using high stimulation parameters (50% higher than therapeutic) induced funny associations, leading to infectious laughter and hilarity, whereas the therapeutic parameters induced a hypomanic behavior and marked improvement of akinesia. Our report suggests that the STN, with its sensorimotor, cognitive, and limbic parts is not only involved in motor, but also in psychomotor regulation. © 2001 Movement Disorder Society.</div>
</front>
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