Neuropsychological assessment for management of patients with deep brain stimulation.
Identifieur interne : 000236 ( Ncbi/Curation ); précédent : 000235; suivant : 000237Neuropsychological assessment for management of patients with deep brain stimulation.
Auteurs : Bernard Pillon [France]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2002.
English descriptors
- KwdEn :
- Basal Ganglia (surgery), Cognition Disorders (diagnosis), Cognition Disorders (etiology), Electric Stimulation Therapy (adverse effects), Electric Stimulation Therapy (methods), Electrodes, Implanted, Humans, Movement Disorders (surgery), Movement Disorders (therapy), Neuropsychological Tests, Parkinson Disease (surgery), Parkinson Disease (therapy), Subthalamic Nucleus (surgery), Treatment Outcome.
- MESH :
- adverse effects : Electric Stimulation Therapy.
- diagnosis : Cognition Disorders.
- etiology : Cognition Disorders.
- methods : Electric Stimulation Therapy.
- surgery : Basal Ganglia, Movement Disorders, Parkinson Disease, Subthalamic Nucleus.
- therapy : Movement Disorders, Parkinson Disease.
- Electrodes, Implanted, Humans, Neuropsychological Tests, Treatment Outcome.
Abstract
The inclusion of cognitive and behavioural criteria has been recommended for the management of patients with deep brain stimulation. A neuropsychological assessment may contribute to different issues: (1) selection of the best candidates for surgery, (2) evaluation of the consequences of surgery, (3) research of the best electrode implantation. Recent neuropsychological studies indicate that (1) with appropriate inclusion criteria, the effects of surgery on cognitive functions are limited; (2) an aggravation of behavioural disorders might be related to subthalamic nucleus (STN) stimulation and depend on electrode location; (3) subthalamic nucleus stimulation, but not the internal globus pallidus stimulation, improves psychomotor efficiency and working memory. These results would suggest that the implanted electrodes are not solely targeting the motor circuit and that the cognitive and motor circuits are not completely segregated.
PubMed: 11948765
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pubmed:11948765Le document en format XML
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<country xml:lang="fr">France</country>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Basal Ganglia (surgery)</term>
<term>Cognition Disorders (diagnosis)</term>
<term>Cognition Disorders (etiology)</term>
<term>Electric Stimulation Therapy (adverse effects)</term>
<term>Electric Stimulation Therapy (methods)</term>
<term>Electrodes, Implanted</term>
<term>Humans</term>
<term>Movement Disorders (surgery)</term>
<term>Movement Disorders (therapy)</term>
<term>Neuropsychological Tests</term>
<term>Parkinson Disease (surgery)</term>
<term>Parkinson Disease (therapy)</term>
<term>Subthalamic Nucleus (surgery)</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Cognition Disorders</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cognition Disorders</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electric Stimulation Therapy</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Basal Ganglia</term>
<term>Movement Disorders</term>
<term>Parkinson Disease</term>
<term>Subthalamic Nucleus</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Movement Disorders</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Electrodes, Implanted</term>
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<term>Neuropsychological Tests</term>
<term>Treatment Outcome</term>
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<front><div type="abstract" xml:lang="en">The inclusion of cognitive and behavioural criteria has been recommended for the management of patients with deep brain stimulation. A neuropsychological assessment may contribute to different issues: (1) selection of the best candidates for surgery, (2) evaluation of the consequences of surgery, (3) research of the best electrode implantation. Recent neuropsychological studies indicate that (1) with appropriate inclusion criteria, the effects of surgery on cognitive functions are limited; (2) an aggravation of behavioural disorders might be related to subthalamic nucleus (STN) stimulation and depend on electrode location; (3) subthalamic nucleus stimulation, but not the internal globus pallidus stimulation, improves psychomotor efficiency and working memory. These results would suggest that the implanted electrodes are not solely targeting the motor circuit and that the cognitive and motor circuits are not completely segregated.</div>
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