Neuropsychological, neuropsychiatric, and quality of life issues in DBS for dystonia.
Identifieur interne : 003319 ( Ncbi/Checkpoint ); précédent : 003318; suivant : 003320Neuropsychological, neuropsychiatric, and quality of life issues in DBS for dystonia.
Auteurs : Marjan Jahanshahi [Royaume-Uni] ; Virginie Czernecki ; And Mateusz ZurowskiSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2011.
English descriptors
- KwdEn :
- Cognition Disorders (etiology), Cognition Disorders (therapy), Deep Brain Stimulation (adverse effects), Deep Brain Stimulation (methods), Dystonia (complications), Dystonia (psychology), Dystonia (therapy), Globus Pallidus (physiology), Humans, Mental Disorders (etiology), Mental Disorders (therapy), Neuropsychological Tests, Quality of Life (psychology), Severity of Illness Index.
- 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.
DOI: 10.1002/mds.23511
PubMed: 21692114
Affiliations:
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first="Marjan" last="Jahanshahi">Marjan Jahanshahi</name><affiliation wicri:level="3"><nlm:affiliation>UCL Institute of Neurology, The National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom. m.jahanshahi@ion.ucl.ac.uk</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>UCL Institute of Neurology, The National Hospital for Neurology and Neurosurgery, Queen Square, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Czernecki, Virginie" sort="Czernecki, Virginie" uniqKey="Czernecki V" first="Virginie" last="Czernecki">Virginie Czernecki</name></author><author><name sortKey="Zurowski, And Mateusz" sort="Zurowski, And Mateusz" uniqKey="Zurowski A" first="And Mateusz" last="Zurowski">And Mateusz Zurowski</name></author></analytic><series><title 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qualifier="complications" xml:lang="en"><term>Dystonia</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cognition Disorders</term><term>Mental Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Globus Pallidus</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Dystonia</term><term>Quality of Life</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Cognition Disorders</term><term>Dystonia</term><term>Mental Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Neuropsychological Tests</term><term>Severity of Illness Index</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><noCountry><name sortKey="Czernecki, Virginie" sort="Czernecki, Virginie" uniqKey="Czernecki V" first="Virginie" last="Czernecki">Virginie Czernecki</name><name sortKey="Zurowski, And Mateusz" sort="Zurowski, And Mateusz" uniqKey="Zurowski A" first="And Mateusz" last="Zurowski">And Mateusz Zurowski</name></noCountry><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></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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