Neuropsychological, Neuropsychiatric, and Quality of Life Issues in DBS for Dystonia
Identifieur interne : 000498 ( PascalFrancis/Corpus ); précédent : 000497; suivant : 000499Neuropsychological, Neuropsychiatric, and Quality of Life Issues in DBS for Dystonia
Auteurs : Marjan Jahanshahi ; Virginie Czernecki ; Mateusz ZurowskiSource :
- Movement disorders [ 0885-3185 ] ; 2011.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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.
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Format Inist (serveur)
| NO : | PASCAL 11-0356325 INIST |
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| ET : | Neuropsychological, Neuropsychiatric, and Quality of Life Issues in DBS for Dystonia |
| AU : | JAHANSHAHI (Marjan); CZERNECKI (Virginie); ZUROWSKI (Mateusz); MORO (Elena); ALBANESE (Alberto); HARIZ (Marwan I.); KRAUSS (Joachim K.); VERHAGEN METMAN (Leo); VIDAILHET (Marie) |
| AF : | UCL Institute of Neurology, The National Hospital for Neurology and Neurosurgery, Queen Square/London/Royaume-Uni (1 aut.); Inserm CRICM U975, Department of Neurology, Groupe Hospitalier Pitié-Salpêtriére/Paris/France (2 aut.); Department of Psychiatry, Toronto Western Hospital, University of Toronto/Toronto/Canada (3 aut.); Movement Disorders Center, Division of Neurology, Toronto Western hospital, University of Toronto, UHN/Toronto, Ontario/Canada (1 aut.); Istituto Neurologico Carlo Besta and Università Cattolica/Milano/Italie (2 aut.); Department of Neurological Sciences, Rush University Medical Center/Chicago, Illinois/Etats-Unis; Hôpital de la Salpetrière, Fédération de Neurologie, CRICM UPMC/INSERM UMR-S 975, UPMC/CNRS UMR 7225/Paris/France (5 aut., 6 aut.); Unit of Functional Neurosurgery, UCL Institute of Neurology, Queen Square/London/Royaume-Uni (3 aut.); Department of Neurosurgery, Medical University, MHH/Hannover/Allemagne (4 aut.) |
| DT : | Publication en série; Niveau analytique |
| SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2011; Vol. 26; No. 7 SUP; S68-S83; Bibl. 78 ref. |
| LA : | Anglais |
| EA : | 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. |
| CC : | 002B17; 002B17H |
| FD : | Dystonie; Pathologie du système nerveux; Qualité de vie; Cognition; Chirurgie |
| FG : | Syndrome extrapyramidal; Mouvement involontaire; Pathologie du muscle strié; Trouble neurologique; Pathologie de l'encéphale; Pathologie du système nerveux central |
| ED : | Dystonia; Nervous system diseases; Quality of life; Cognition; Surgery |
| EG : | Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Cerebral disorder; Central nervous system disease |
| SD : | Distonía; Sistema nervioso patología; Calidad vida; Cognición; Cirugía |
| LO : | INIST-20953.354000190458070070 |
| ID : | 11-0356325 |
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Pascal:11-0356325Le document en format XML
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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. 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All rights reserved.</s1></fA44><fA45><s0>78 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>11-0356325</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Movement disorders</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>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. 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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.</EA><CC>002B17; 002B17H</CC><FD>Dystonie; Pathologie du système nerveux; Qualité de vie; Cognition; Chirurgie</FD><FG>Syndrome extrapyramidal; Mouvement involontaire; Pathologie du muscle strié; Trouble neurologique; Pathologie de l'encéphale; Pathologie du système nerveux central</FG><ED>Dystonia; Nervous system diseases; Quality of life; Cognition; Surgery</ED><EG>Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Cerebral disorder; Central nervous system disease</EG><SD>Distonía; Sistema nervioso patología; Calidad vida; Cognición; Cirugía</SD><LO>INIST-20953.354000190458070070</LO><ID>11-0356325</ID></server></inist></record>Pour manipuler ce document sous Unix (Dilib)
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