La maladie de Parkinson en France (serveur d'exploration)

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Dopamine replacement therapy and deep brain stimulation of the subthalamic nuclei induce modulation of emotional processes at different spatial frequencies in Parkinson's disease.

Identifieur interne : 000641 ( PubMed/Corpus ); précédent : 000640; suivant : 000642

Dopamine replacement therapy and deep brain stimulation of the subthalamic nuclei induce modulation of emotional processes at different spatial frequencies in Parkinson's disease.

Auteurs : Martial Mermillod ; Laurie Mondillon ; Isabelle Rieu ; Damien Devaux ; Patrick Chambres ; Catherine Auxiette ; Hélène Dalens ; Louise Marie Coulangeon ; Isabelle Jalenques ; Franck Durif

Source :

RBID : pubmed:24496100

English descriptors

Abstract

Deep brain stimulation of the subthalamic nuclei (STN-DBS) is an effective treatment for the most severe forms of Parkinson's disease (PD) and is intended to suppress these patients' motor symptoms. However, be it in association with Dopamine Replacement Therapy (DRT) or not, STN-DBS may in some cases induce addictive or emotional disorders.

DOI: 10.3233/JPD-130256
PubMed: 24496100

Links to Exploration step

pubmed:24496100

Le document en format XML

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<term>Deep Brain Stimulation (adverse effects)</term>
<term>Emotions (physiology)</term>
<term>Facial Expression</term>
<term>Humans</term>
<term>Levodopa (adverse effects)</term>
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<div type="abstract" xml:lang="en">Deep brain stimulation of the subthalamic nuclei (STN-DBS) is an effective treatment for the most severe forms of Parkinson's disease (PD) and is intended to suppress these patients' motor symptoms. However, be it in association with Dopamine Replacement Therapy (DRT) or not, STN-DBS may in some cases induce addictive or emotional disorders.</div>
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<Title>Journal of Parkinson's disease</Title>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Deep brain stimulation of the subthalamic nuclei (STN-DBS) is an effective treatment for the most severe forms of Parkinson's disease (PD) and is intended to suppress these patients' motor symptoms. However, be it in association with Dopamine Replacement Therapy (DRT) or not, STN-DBS may in some cases induce addictive or emotional disorders.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">In the current study, we suggest that PD patients suffer from emotional deficits that have not been revealed in previous studies because in those experiments the stimuli were displayed for a time long enough to allow patients to have recourse to perceptual strategies in order to recognize the emotional facial expressions (EFE).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The aim of the current article is to demonstrate the existence of emotional disorders in PD by using a rapid presentation of the visual stimuli (200-ms display time) which curtails their perceptual analysis, and to determine whether STN-DBS, either associated or not associated with DRT, has an impact on the recognition of emotions.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The results show that EFE recognition performance depends on both STN-DBS ('on' vs. 'off') and medication ('on' vs. 'off'), but also that these variables have an interactive influence on EFE recognition performance. Moreover, we also reveal how these EFE impairments depend on different spatial frequencies perceptual channels (related to different cortical vs. subcortical neural structures).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The effect of PD without therapy seems to be particularly acute for LSF emotional faces, possibly due to a subcortical dysfunction. However, our results indicate that the joint action of STN-DBS and DRT could also disrupt recognition of emotional expressions at the level of occipito-temporal cortical areas (processing HSF visual information) inducing broad global impairment of EFE at the level of HSF visual channels.</AbstractText>
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