Behavioural disorders, Parkinson's disease and subthalamic stimulation. Commentary
Identifieur interne : 000351 ( PascalFrancis/Curation ); précédent : 000350; suivant : 000352Behavioural disorders, Parkinson's disease and subthalamic stimulation. Commentary
Auteurs : J. L. Houeto [France] ; V. Mesnage [France] ; L. Mallet [France] ; B. Pillon [France] ; M. Gargiulo [France] ; S. Tezenas Du Moncel [France] ; A. M. Bonnet [France] ; B. Pidoux [France] ; D. Dormont [France] ; P. Cornu [France] ; Y. Agid [France] ; R. G. Brown [Royaume-Uni]Source :
- Journal of neurology, neurosurgery and psychiatry [ 0022-3050 ] ; 2002.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
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Abstract
Objective: to analyse 24 parkinsonian patients successfully treated by bilateral STN stimulation for the presence of behavioural disorders. Method: patients were evaluated retrospectively for adjustment disorders (social adjustment scale, SAS), psychiatric disorders (comparison of the results of psychiatric interview and the mini international neuropsychiatric inventory) and personality changes (IOWA scale of personality changes). Results: parkinsonian motor disability was improved by 69.5% and the levodopa equivalent daily dosage was reduced by 60.5%. Social adjustment (SAS) was considered good or excellent in nine patients, moderately (n=14), or severely (n=1) impaired in 15 patients. Psychiatric disorders consisted of amplification or decompensation of previously existing disorders that had sometimes passed unnoticed, such as depressive episodes (n=4), generalised anxiety (n=18), and behavioural disorders with drug dependence (n=2). Appearance of mild to moderate emotional hyperreactivity was reported in 15 patients. Personality traits (IOWA scale) were improved in eight patients, unchanged in seven, and aggravated in eight Conclusion: Improvement in parkinsonian motor disability induced by STN stimulation is not necessarily accompanied by improvement in psychic function and quality of life. Attention is drawn to the possible appearance of personality disorders and decompensation of previous psychiatric disorders in parkinsonian patients who are suitable candidates for neurosurgery. We suggest that a careful psychological and psychiatric interview be performed before surgery, and emphasise the need for psychological follow up to ensure the best possible outcome.
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Agid</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Centre d'Investigation Clinique, Fédération de Neurologie and INSERM U 289</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>France</country></affiliation></author><author><name sortKey="Brown, R G" sort="Brown, R G" uniqKey="Brown R" first="R. G." last="Brown">R. G. Brown</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Department of Psychology, Institute of Psychiatry, King's College London, De Crespigny Park</s1><s2>London SE5 8AF</s2><s3>GBR</s3><sZ>12 aut.</sZ></inist:fA14><country>Royaume-Uni</country></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">02-0358202</idno><date when="2002">2002</date><idno type="stanalyst">PASCAL 02-0358202 INIST</idno><idno type="RBID">Pascal:02-0358202</idno><idno type="wicri:Area/PascalFrancis/Corpus">001085</idno><idno type="wicri:Area/PascalFrancis/Curation">000351</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Behavioural disorders, Parkinson's disease and subthalamic stimulation. Commentary</title><author><name sortKey="Houeto, J L" sort="Houeto, J L" uniqKey="Houeto J" first="J. L." last="Houeto">J. L. Houeto</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Centre d'Investigation Clinique, Fédération de Neurologie and INSERM U 289</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>France</country></affiliation></author><author><name sortKey="Mesnage, V" sort="Mesnage, V" uniqKey="Mesnage V" first="V." last="Mesnage">V. Mesnage</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Centre d'Investigation Clinique, Fédération de Neurologie and INSERM U 289</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>France</country></affiliation></author><author><name sortKey="Mallet, L" sort="Mallet, L" uniqKey="Mallet L" first="L." last="Mallet">L. Mallet</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Services de Psychiatrie, Hôpital de la Salpêtrière</s1><s2>Paris</s2><s3>FRA</s3><sZ>3 aut.</sZ></inist:fA14><country>France</country></affiliation></author><author><name sortKey="Pillon, B" sort="Pillon, B" uniqKey="Pillon B" first="B." last="Pillon">B. Pillon</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>INSERM E 007</s1><s3>FRA</s3><sZ>4 aut.</sZ></inist:fA14><country>France</country></affiliation></author><author><name sortKey="Gargiulo, M" sort="Gargiulo, M" uniqKey="Gargiulo M" first="M." last="Gargiulo">M. Gargiulo</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Centre d'Investigation Clinique, Fédération de Neurologie and INSERM U 289</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>France</country></affiliation></author><author><name sortKey="Tezenas Du Moncel, S" sort="Tezenas Du Moncel, S" uniqKey="Tezenas Du Moncel S" first="S." last="Tezenas Du Moncel">S. Tezenas Du Moncel</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Services de Informatique Médicale, Hôpital de la Salpêtrière</s1><s2>Paris</s2><s3>FRA</s3><sZ>6 aut.</sZ></inist:fA14><country>France</country></affiliation></author><author><name sortKey="Bonnet, A M" sort="Bonnet, A M" uniqKey="Bonnet A" first="A. M." last="Bonnet">A. M. Bonnet</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Centre d'Investigation Clinique, Fédération de Neurologie and INSERM U 289</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>France</country></affiliation></author><author><name sortKey="Pidoux, B" sort="Pidoux, B" uniqKey="Pidoux B" first="B." last="Pidoux">B. Pidoux</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Fédération de Neurophysiologie Clinique, Hôpital de la Salpêtrière</s1><s2>Paris</s2><s3>FRA</s3><sZ>8 aut.</sZ></inist:fA14><country>France</country></affiliation></author><author><name sortKey="Dormont, D" sort="Dormont, D" uniqKey="Dormont D" first="D." last="Dormont">D. Dormont</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Services de Neuroradiologie, Hôpital de la Salpêtrière</s1><s2>Paris</s2><s3>FRA</s3><sZ>9 aut.</sZ></inist:fA14><country>France</country></affiliation></author><author><name sortKey="Cornu, P" sort="Cornu, P" uniqKey="Cornu P" first="P." last="Cornu">P. Cornu</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Services de Neurochirurgie, Hôpital de la Salpêtrière</s1><s2>Paris</s2><s3>FRA</s3><sZ>10 aut.</sZ></inist:fA14><country>France</country></affiliation></author><author><name sortKey="Agid, Y" sort="Agid, Y" uniqKey="Agid Y" first="Y." last="Agid">Y. Agid</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Centre d'Investigation Clinique, Fédération de Neurologie and INSERM U 289</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>France</country></affiliation></author><author><name sortKey="Brown, R G" sort="Brown, R G" uniqKey="Brown R" first="R. G." last="Brown">R. G. Brown</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Department of Psychology, Institute of Psychiatry, King's College London, De Crespigny Park</s1><s2>London SE5 8AF</s2><s3>GBR</s3><sZ>12 aut.</sZ></inist:fA14><country>Royaume-Uni</country></affiliation></author></analytic><series><title level="j" type="main">Journal of neurology, neurosurgery and psychiatry</title><title level="j" type="abbreviated">J. neurol. neurosurg. psychiatry</title><idno type="ISSN">0022-3050</idno><imprint><date when="2002">2002</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of neurology, neurosurgery and psychiatry</title><title level="j" type="abbreviated">J. neurol. neurosurg. psychiatry</title><idno type="ISSN">0022-3050</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Behavioral disorder</term><term>Bilateral</term><term>Complication</term><term>Frequency</term><term>Human</term><term>Instrumental stimulation</term><term>Parkinson disease</term><term>Subthalamic nucleus</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Parkinson maladie</term><term>Stimulation instrumentale</term><term>Noyau sousthalamique</term><term>Bilatéral</term><term>Trouble comportement</term><term>Complication</term><term>Fréquence</term><term>Homme</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: to analyse 24 parkinsonian patients successfully treated by bilateral STN stimulation for the presence of behavioural disorders. Method: patients were evaluated retrospectively for adjustment disorders (social adjustment scale, SAS), psychiatric disorders (comparison of the results of psychiatric interview and the mini international neuropsychiatric inventory) and personality changes (IOWA scale of personality changes). Results: parkinsonian motor disability was improved by 69.5% and the levodopa equivalent daily dosage was reduced by 60.5%. Social adjustment (SAS) was considered good or excellent in nine patients, moderately (n=14), or severely (n=1) impaired in 15 patients. Psychiatric disorders consisted of amplification or decompensation of previously existing disorders that had sometimes passed unnoticed, such as depressive episodes (n=4), generalised anxiety (n=18), and behavioural disorders with drug dependence (n=2). Appearance of mild to moderate emotional hyperreactivity was reported in 15 patients. Personality traits (IOWA scale) were improved in eight patients, unchanged in seven, and aggravated in eight Conclusion: Improvement in parkinsonian motor disability induced by STN stimulation is not necessarily accompanied by improvement in psychic function and quality of life. Attention is drawn to the possible appearance of personality disorders and decompensation of previous psychiatric disorders in parkinsonian patients who are suitable candidates for neurosurgery. We suggest that a careful psychological and psychiatric interview be performed before surgery, and emphasise the need for psychological follow up to ensure the best possible outcome.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0022-3050</s0></fA01><fA02 i1="01"><s0>JNNPAU</s0></fA02><fA03 i2="1"><s0>J. neurol. neurosurg. psychiatry</s0></fA03><fA05><s2>72</s2></fA05><fA06><s2>6</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Behavioural disorders, Parkinson's disease and subthalamic stimulation. Commentary</s1></fA08><fA11 i1="01" i2="1"><s1>HOUETO (J. L.)</s1></fA11><fA11 i1="02" i2="1"><s1>MESNAGE (V.)</s1></fA11><fA11 i1="03" i2="1"><s1>MALLET (L.)</s1></fA11><fA11 i1="04" i2="1"><s1>PILLON (B.)</s1></fA11><fA11 i1="05" i2="1"><s1>GARGIULO (M.)</s1></fA11><fA11 i1="06" i2="1"><s1>TEZENAS DU MONCEL (S.)</s1></fA11><fA11 i1="07" i2="1"><s1>BONNET (A. M.)</s1></fA11><fA11 i1="08" i2="1"><s1>PIDOUX (B.)</s1></fA11><fA11 i1="09" i2="1"><s1>DORMONT (D.)</s1></fA11><fA11 i1="10" i2="1"><s1>CORNU (P.)</s1></fA11><fA11 i1="11" i2="1"><s1>AGID (Y.)</s1></fA11><fA11 i1="12" i2="1"><s1>BROWN (R. G.)</s1><s9>comment.</s9></fA11><fA14 i1="01"><s1>Centre d'Investigation Clinique, Fédération de Neurologie and INSERM U 289</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ><sZ>11 aut.</sZ></fA14><fA14 i1="02"><s1>Services de Psychiatrie, Hôpital de la Salpêtrière</s1><s2>Paris</s2><s3>FRA</s3><sZ>3 aut.</sZ></fA14><fA14 i1="03"><s1>INSERM E 007</s1><s3>FRA</s3><sZ>4 aut.</sZ></fA14><fA14 i1="04"><s1>Services de Informatique Médicale, Hôpital de la Salpêtrière</s1><s2>Paris</s2><s3>FRA</s3><sZ>6 aut.</sZ></fA14><fA14 i1="05"><s1>Fédération de Neurophysiologie Clinique, Hôpital de la Salpêtrière</s1><s2>Paris</s2><s3>FRA</s3><sZ>8 aut.</sZ></fA14><fA14 i1="06"><s1>Services de Neuroradiologie, Hôpital de la Salpêtrière</s1><s2>Paris</s2><s3>FRA</s3><sZ>9 aut.</sZ></fA14><fA14 i1="07"><s1>Services de Neurochirurgie, Hôpital de la Salpêtrière</s1><s2>Paris</s2><s3>FRA</s3><sZ>10 aut.</sZ></fA14><fA14 i1="08"><s1>Department of Psychology, Institute of Psychiatry, King's College London, De Crespigny Park</s1><s2>London SE5 8AF</s2><s3>GBR</s3><sZ>12 aut.</sZ></fA14><fA20><s2>689,701-707 [8 p.]</s2></fA20><fA21><s1>2002</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>6015</s2><s5>354000101348810040</s5></fA43><fA44><s0>0000</s0><s1>© 2002 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>55 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>02-0358202</s0></fA47><fA60><s1>P</s1><s3>AR</s3><s3>ED</s3><s3>CT</s3></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Journal of neurology, neurosurgery and psychiatry</s0></fA64><fA66 i1="01"><s0>GBR</s0></fA66><fC01 i1="01" l="ENG"><s0>Objective: to analyse 24 parkinsonian patients successfully treated by bilateral STN stimulation for the presence of behavioural disorders. Method: patients were evaluated retrospectively for adjustment disorders (social adjustment scale, SAS), psychiatric disorders (comparison of the results of psychiatric interview and the mini international neuropsychiatric inventory) and personality changes (IOWA scale of personality changes). Results: parkinsonian motor disability was improved by 69.5% and the levodopa equivalent daily dosage was reduced by 60.5%. Social adjustment (SAS) was considered good or excellent in nine patients, moderately (n=14), or severely (n=1) impaired in 15 patients. Psychiatric disorders consisted of amplification or decompensation of previously existing disorders that had sometimes passed unnoticed, such as depressive episodes (n=4), generalised anxiety (n=18), and behavioural disorders with drug dependence (n=2). Appearance of mild to moderate emotional hyperreactivity was reported in 15 patients. Personality traits (IOWA scale) were improved in eight patients, unchanged in seven, and aggravated in eight Conclusion: Improvement in parkinsonian motor disability induced by STN stimulation is not necessarily accompanied by improvement in psychic function and quality of life. Attention is drawn to the possible appearance of personality disorders and decompensation of previous psychiatric disorders in parkinsonian patients who are suitable candidates for neurosurgery. We suggest that a careful psychological and psychiatric interview be performed before surgery, and emphasise the need for psychological follow up to ensure the best possible outcome.</s0></fC01><fC02 i1="01" i2="X"><s0>002B17G</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Parkinson maladie</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Parkinson disease</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Parkinson enfermedad</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Stimulation instrumentale</s0><s5>04</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Instrumental stimulation</s0><s5>04</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Estimulación instrumental</s0><s5>04</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Noyau sousthalamique</s0><s5>05</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Subthalamic nucleus</s0><s5>05</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Núcleo subtalámico</s0><s5>05</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Bilatéral</s0><s5>06</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Bilateral</s0><s5>06</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Bilateral</s0><s5>06</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Trouble comportement</s0><s5>07</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Behavioral disorder</s0><s5>07</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Trastorno conducta</s0><s5>07</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Complication</s0><s5>17</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Complication</s0><s5>17</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Complicación</s0><s5>17</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Fréquence</s0><s5>18</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Frequency</s0><s5>18</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Frecuencia</s0><s5>18</s5></fC03><fC03 i1="08" i2="X" l="FRE"><s0>Homme</s0><s5>20</s5></fC03><fC03 i1="08" i2="X" l="ENG"><s0>Human</s0><s5>20</s5></fC03><fC03 i1="08" i2="X" l="SPA"><s0>Hombre</s0><s5>20</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Système nerveux pathologie</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Nervous system diseases</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Sistema nervioso patología</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Central nervous system disease</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0><s5>38</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Encéphale pathologie</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Cerebral disorder</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Encéfalo patología</s0><s5>39</s5></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Extrapyramidal syndrome</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0><s5>40</s5></fC07><fC07 i1="05" i2="X" l="FRE"><s0>Maladie dégénérative</s0><s5>41</s5></fC07><fC07 i1="05" i2="X" l="ENG"><s0>Degenerative disease</s0><s5>41</s5></fC07><fC07 i1="05" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0><s5>41</s5></fC07><fC07 i1="06" i2="X" l="FRE"><s0>Traitement instrumental</s0><s5>45</s5></fC07><fC07 i1="06" i2="X" l="ENG"><s0>Instrumentation therapy</s0><s5>45</s5></fC07><fC07 i1="06" i2="X" l="SPA"><s0>Tratamiento instrumental</s0><s5>45</s5></fC07><fN21><s1>196</s1></fN21><fN82><s1>PSI</s1></fN82></pA></standard></inist></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Behavioural disorders, Parkinson's disease and subthalamic stimulation. Commentary
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