Mood disorder following DBS of the left amygdaloid region in a dystonia patient with a dislodged electrode
Identifieur interne : 003339 ( Main/Merge ); précédent : 003338; suivant : 003340Mood 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.
English descriptors
- KwdEn :
- Adult, Amygdala, Deep Brain Stimulation (adverse effects), Dystonia (therapy), Electrodes, Implanted, Equipment Failure, Functional Laterality (physiology), Humans, Male, Mood Disorders (diagnosis), Mood Disorders (etiology), Mood Disorders (psychology), 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
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<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.</div>
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