MovDisordV3, PascalFrancis, Curation, bibRecord, 001F29

Deep Brain Stimulation and Cognitive Functions in Parkinson's Disease: A Three-Year Controlled Study

Identifieur interne : 001F29 ( PascalFrancis/Curation ); précédent : 001F28; suivant : 001F30

Deep Brain Stimulation and Cognitive Functions in Parkinson's Disease: A Three-Year Controlled Study

Auteurs : Roberta Zangaglia [Italie] ; Claudio Pacchetti [Italie] ; Chiara Pasotti [Italie] ; Francesca Mancini [Italie] ; Domenico Servello [Italie] ; Elena Sinforiani [Italie] ; Silvano Cristina [Italie] ; Marco Sassi [Italie] ; Giuseppe Nappi [Italie]

Source :

Movement disorders [ 0885-3185 ] ; 2009.

RBID : Pascal:09-0386508

Descripteurs français

Pascal (Inist)
- Maladie de Parkinson, Pathologie du système nerveux, Noyau sousthalamique, Stimulation cérébrale profonde.

English descriptors

KwdEn :
- Deep brain stimulation, Nervous system diseases, Parkinson disease, Subthalamic nucleus.

Abstract

There is debate over the cognitive and behavioral effects of deep brain stimulation (DBS) of the subthalamic nucleus (STN) in advanced Parkinson's disease (PD). To evaluate these effects, we performed a prospective, naturalistic controlled, 3-year follow-up study. A total of 65 PD patients were enrolled, of whom 32 underwent STN-DBS (PD-DBS) and 33, even though eligible for this treatment, declined surgery and chose other therapeutic procedures (PD-control). Motor and neuropsychological functions were assessed in all the subjects at baseline (TO) and 36 months (T36). The PD-DBS patients were also evaluated at 1,6, 12, and 24 months after surgery (T1, T6, T12, and T24). At T1, compared with T0, the PD-DBS patients recorded worse logical executive function task and verbal fluency (FAS) scores, whereas their performance of memory tasks remained stable. At T12, their cognitive profile had returned within the pre-DBS range, thereafter remaining stable until T36. FAS scores at T36 were significantly worse in the PD-DBS compared with the PD-control patients. This is the first long-term naturalistic controlled study of cognitive functions in PD patients submitted to STN-DBS. Our results confirm previous reports of a worsening of verbal fluency after DBS, but show that STN-DBS seems to be relatively safe from a cognitive standpoint, as the short-term worsening of frontal-executive functions was found to be transient.

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A11	`01`	`1`		`@1 ZANGAGLIA (Roberta)`
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A11	`03`	`1`		`@1 PASOTTI (Chiara)`
A11	`04`	`1`		`@1 MANCINI (Francesca)`
A11	`05`	`1`		`@1 SERVELLO (Domenico)`
A11	`06`	`1`		`@1 SINFORIANI (Elena)`
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C01	`01`		`ENG`	@0 There is debate over the cognitive and behavioral effects of deep brain stimulation (DBS) of the subthalamic nucleus (STN) in advanced Parkinson's disease (PD). To evaluate these effects, we performed a prospective, naturalistic controlled, 3-year follow-up study. A total of 65 PD patients were enrolled, of whom 32 underwent STN-DBS (PD-DBS) and 33, even though eligible for this treatment, declined surgery and chose other therapeutic procedures (PD-control). Motor and neuropsychological functions were assessed in all the subjects at baseline (TO) and 36 months (T36). The PD-DBS patients were also evaluated at 1,6, 12, and 24 months after surgery (T1, T6, T12, and T24). At T1, compared with T0, the PD-DBS patients recorded worse logical executive function task and verbal fluency (FAS) scores, whereas their performance of memory tasks remained stable. At T12, their cognitive profile had returned within the pre-DBS range, thereafter remaining stable until T36. FAS scores at T36 were significantly worse in the PD-DBS compared with the PD-control patients. This is the first long-term naturalistic controlled study of cognitive functions in PD patients submitted to STN-DBS. Our results confirm previous reports of a worsening of verbal fluency after DBS, but show that STN-DBS seems to be relatively safe from a cognitive standpoint, as the short-term worsening of frontal-executive functions was found to be transient.
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C03	`01`	`X`	`FRE`	`@0 Maladie de Parkinson @2 NM @5 01`
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C03	`04`	`X`	`FRE`	`@0 Stimulation cérébrale profonde @4 CD @5 96`
C03	`04`	`X`	`ENG`	`@0 Deep brain stimulation @4 CD @5 96`
C07	`01`	`X`	`FRE`	`@0 Pathologie de l'encéphale @5 37`
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C07	`01`	`X`	`SPA`	`@0 Encéfalo patología @5 37`
C07	`02`	`X`	`FRE`	`@0 Syndrome extrapyramidal @5 38`
C07	`02`	`X`	`ENG`	`@0 Extrapyramidal syndrome @5 38`
C07	`02`	`X`	`SPA`	`@0 Extrapiramidal síndrome @5 38`
C07	`03`	`X`	`FRE`	`@0 Maladie dégénérative @5 39`
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C07	`03`	`X`	`SPA`	`@0 Enfermedad degenerativa @5 39`
C07	`04`	`X`	`FRE`	`@0 Pathologie du système nerveux central @5 40`
C07	`04`	`X`	`ENG`	`@0 Central nervous system disease @5 40`
C07	`04`	`X`	`SPA`	`@0 Sistema nervosio central patología @5 40`
C07	`05`	`X`	`FRE`	`@0 Encéphale @5 42`
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C07	`05`	`X`	`SPA`	`@0 Encéfalo @5 42`
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Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Deep Brain Stimulation and Cognitive Functions in Parkinson's Disease: A Three-Year Controlled Study</title>
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<author><name sortKey="Sinforiani, Elena" sort="Sinforiani, Elena" uniqKey="Sinforiani E" first="Elena" last="Sinforiani">Elena Sinforiani</name>
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<author><name sortKey="Cristina, Silvano" sort="Cristina, Silvano" uniqKey="Cristina S" first="Silvano" last="Cristina">Silvano Cristina</name>
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<author><name sortKey="Sassi, Marco" sort="Sassi, Marco" uniqKey="Sassi M" first="Marco" last="Sassi">Marco Sassi</name>
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<author><name sortKey="Nappi, Giuseppe" sort="Nappi, Giuseppe" uniqKey="Nappi G" first="Giuseppe" last="Nappi">Giuseppe Nappi</name>
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<country>Italie</country>
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<series><title level="j" type="main">Movement disorders</title>
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<front><div type="abstract" xml:lang="en">There is debate over the cognitive and behavioral effects of deep brain stimulation (DBS) of the subthalamic nucleus (STN) in advanced Parkinson's disease (PD). To evaluate these effects, we performed a prospective, naturalistic controlled, 3-year follow-up study. A total of 65 PD patients were enrolled, of whom 32 underwent STN-DBS (PD-DBS) and 33, even though eligible for this treatment, declined surgery and chose other therapeutic procedures (PD-control). Motor and neuropsychological functions were assessed in all the subjects at baseline (TO) and 36 months (T36). The PD-DBS patients were also evaluated at 1,6, 12, and 24 months after surgery (T1, T6, T12, and T24). At T1, compared with T0, the PD-DBS patients recorded worse logical executive function task and verbal fluency (FAS) scores, whereas their performance of memory tasks remained stable. At T12, their cognitive profile had returned within the pre-DBS range, thereafter remaining stable until T36. FAS scores at T36 were significantly worse in the PD-DBS compared with the PD-control patients. This is the first long-term naturalistic controlled study of cognitive functions in PD patients submitted to STN-DBS. Our results confirm previous reports of a worsening of verbal fluency after DBS, but show that STN-DBS seems to be relatively safe from a cognitive standpoint, as the short-term worsening of frontal-executive functions was found to be transient.</div>
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<fC01 i1="01" l="ENG"><s0>There is debate over the cognitive and behavioral effects of deep brain stimulation (DBS) of the subthalamic nucleus (STN) in advanced Parkinson's disease (PD). To evaluate these effects, we performed a prospective, naturalistic controlled, 3-year follow-up study. A total of 65 PD patients were enrolled, of whom 32 underwent STN-DBS (PD-DBS) and 33, even though eligible for this treatment, declined surgery and chose other therapeutic procedures (PD-control). Motor and neuropsychological functions were assessed in all the subjects at baseline (TO) and 36 months (T36). The PD-DBS patients were also evaluated at 1,6, 12, and 24 months after surgery (T1, T6, T12, and T24). At T1, compared with T0, the PD-DBS patients recorded worse logical executive function task and verbal fluency (FAS) scores, whereas their performance of memory tasks remained stable. At T12, their cognitive profile had returned within the pre-DBS range, thereafter remaining stable until T36. FAS scores at T36 were significantly worse in the PD-DBS compared with the PD-control patients. This is the first long-term naturalistic controlled study of cognitive functions in PD patients submitted to STN-DBS. Our results confirm previous reports of a worsening of verbal fluency after DBS, but show that STN-DBS seems to be relatively safe from a cognitive standpoint, as the short-term worsening of frontal-executive functions was found to be transient.</s0>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Deep Brain Stimulation and Cognitive Functions in Parkinson's Disease: A Three-Year Controlled Study

Deep Brain Stimulation and Cognitive Functions in Parkinson's Disease: A Three-Year Controlled Study

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