Deep brain stimulation of the subthalamic nucleus improves intrinsic alertness in Parkinson's disease.
Identifieur interne : 002728 ( Ncbi/Curation ); précédent : 002727; suivant : 002729Deep brain stimulation of the subthalamic nucleus improves intrinsic alertness in Parkinson's disease.
Auteurs : Bruno Fimm [Allemagne] ; Ines A. Heber ; Volker A. Coenen ; Christoph Fromm ; Johannes Noth ; Martin KronenbuergerSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2009.
English descriptors
- KwdEn :
- Adult, Aged, Antiparkinson Agents (pharmacology), Antiparkinson Agents (therapeutic use), Attention (drug effects), Attention (physiology), Combined Modality Therapy, Deep Brain Stimulation, Female, Frontal Lobe (drug effects), Frontal Lobe (physiopathology), Humans, Male, Mental Processes (drug effects), Mental Processes (physiology), Middle Aged, Motor Activity (drug effects), Motor Activity (physiology), Neuropsychological Tests, Parietal Lobe (drug effects), Parietal Lobe (physiopathology), Parkinson Disease (drug therapy), Parkinson Disease (psychology), Parkinson Disease (therapy), Psychomotor Performance (drug effects), Psychomotor Performance (physiology), Random Allocation, Severity of Illness Index, Subthalamic Nucleus (drug effects), Subthalamic Nucleus (physiopathology).
- MESH :
- chemical , pharmacology : Antiparkinson Agents.
- chemical , therapeutic use : Antiparkinson Agents.
- drug effects : Attention, Frontal Lobe, Mental Processes, Motor Activity, Parietal Lobe, Psychomotor Performance, Subthalamic Nucleus.
- drug therapy : Parkinson Disease.
- physiology : Attention, Mental Processes, Motor Activity, Psychomotor Performance.
- physiopathology : Frontal Lobe, Parietal Lobe, Subthalamic Nucleus.
- psychology : Parkinson Disease.
- therapy : Parkinson Disease.
- Adult, Aged, Combined Modality Therapy, Deep Brain Stimulation, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Random Allocation, Severity of Illness Index.
Abstract
Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is a treatment option for patients with Parkinson's disease (PD) in the advanced stage. Besides motor improvement, DBS of the STN may also modulate cognitive and attentional functions of the basal ganglia. In our study, 13 patients with PD and bilateral DBS of the STN were assessed with DBS switched on and off by the use of a wide range of neuropsychological tasks. This included reasoning, cognitive flexibility, phonemic and semantic word fluency, verbal and nonverbal short-term memory, learning, delayed verbal memory recall, and stimulus-response incompatibility. Special emphasis was put on basic attentional functions, in particular intrinsic and phasic alertness as well as visual search. DBS significantly improved intrinsic alertness, whereas phasic alertness and other neuropsychological domains were not affected. Additionally, the effects on intrinsic alertness were independent of motor improvements by DBS. The findings suggest that DBS modulates the fronto-parietal network of alertness.
DOI: 10.1002/mds.22580
PubMed: 19533754
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pubmed:19533754Le document en format XML
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<front><div type="abstract" xml:lang="en">Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is a treatment option for patients with Parkinson's disease (PD) in the advanced stage. Besides motor improvement, DBS of the STN may also modulate cognitive and attentional functions of the basal ganglia. In our study, 13 patients with PD and bilateral DBS of the STN were assessed with DBS switched on and off by the use of a wide range of neuropsychological tasks. This included reasoning, cognitive flexibility, phonemic and semantic word fluency, verbal and nonverbal short-term memory, learning, delayed verbal memory recall, and stimulus-response incompatibility. Special emphasis was put on basic attentional functions, in particular intrinsic and phasic alertness as well as visual search. DBS significantly improved intrinsic alertness, whereas phasic alertness and other neuropsychological domains were not affected. Additionally, the effects on intrinsic alertness were independent of motor improvements by DBS. The findings suggest that DBS modulates the fronto-parietal network of alertness.</div>
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