Manic behaviour induced by deep-brain stimulation in Parkinson's disease : evidence of substantia nigra implication?
Identifieur interne : 000999 ( PascalFrancis/Checkpoint ); précédent : 000998; suivant : 000A00Manic behaviour induced by deep-brain stimulation in Parkinson's disease : evidence of substantia nigra implication?
Auteurs : M. Ulla [France] ; S. Thobois [France] ; J.-J. Lemaire [France] ; A. Schmitt [France] ; P. Derost [France] ; E. Broussolle [France] ; P.-M. Llorca [France] ; F. Durif [France]Source :
- Journal of neurology, neurosurgery and psychiatry [ 0022-3050 ] ; 2006.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
We report the case of a patient who had benefited from bilateral subthalamic nucleus deep brain stimulation for Parkinson's disease and who presented acute and reproducible manic behaviour when stimulated mainly in the substantia nigra. A positron emission tomography scan showed an activation of the right dorsolateral prefrontal and inferior temporal cortex, the left anterior cingulate cortex and a deactivation of the left insula. This suggests that changes in cortical activation related to mania are subcortically driven, involving notably the substantia nigra.
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