Titre du document / Document title

Psychiatric complications of deep brain stimulation for Parkinson's disease

Auteur(s) / Author(s)

PIASECKI Shelley D. ⁽¹⁾ ; JEFFERSON James W. ^{(2 3)} ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ University of Wisconsin Psychiatric Institute and Clinics, Madison, Wis., ETATS-UNIS
⁽²⁾ Madison Institute of Medicine, Inc., Madison, Wis., ETATS-UNIS
⁽³⁾ University of Wisconsin Medical School, Madison, Wis., ETATS-UNIS

Résumé / Abstract

Background: The purpose of this article is to review the current literature regarding deep brain stimulation (DBS) of the subthalamic nucleus as a treatment for Parkinson's disease and to bring to the attention of the psychiatric community the possible psychiatric complications of this treatment. Method: A MEDLINE search of English-language publications was conducted using PubMed in July 2003. The search term used was deep brain stimulation. In addition, pertinent references were obtained from the retrieved articles. Reports and studies of psychiatric complications of DBS patients were reviewed and are discussed. A case report is presented of a man who developed hypomanic symptoms shortly after beginning DBS treatment for Parkinson's disease. Results: There have been an increasing number of reports of postprocedure psychiatric complications, including depression, mania, aggression, and deficits in language. Improvement in symptoms of severe obsessive-compulsive disorder and depression has also been reported. Conclusion: As information continues to emerge, psychiatrists will play vital roles in the assessment and continuing care of patients who receive DBS. These findings may also provide the framework to determine which patients are at psychiatric risk from DBS. Symptoms of refractory obsessive-compulsive disorder have been noted to improve with DBS. which has led researchers to begin studying its effectiveness for this condition.

Revue / Journal Title

The Journal of clinical psychiatry   ISSN 0160-6689 

Source / Source

2004, vol. 65, n^o6, pp. 845-849 [5 page(s) (article)] (33 ref.)

Langue / Language

Anglais

Editeur / Publisher

Physicians Postgraduate Press, Memphis, TN, ETATS-UNIS  (1978) (Revue)

Mots-clés anglais / English Keywords

Mood disorder ; Central nervous system ; Encephalon ; Degenerative disease ; Extrapyramidal syndrome ; Cerebral disorder ; Central nervous system disease ; Nervous system diseases ; Human ; Elderly ; Male ; Case study ; Review ; Clinical management ; Mental disorder ; Hypomania ; Symptomatology ; Complication ; Subthalamic nucleus ; Bipolar electrode ; Electrical stimulus ; Stereotaxic surgery ; Surgery ; Treatment ; Parkinson disease ;

Mots-clés français / French Keywords

Trouble humeur ; Système nerveux central ; Encéphale ; Maladie dégénérative ; Extrapyramidal syndrome ; Encéphale pathologie ; Système nerveux central pathologie ; Système nerveux pathologie ; Homme ; Personne âgée ; Mâle ; Etude cas ; Article synthèse ; Conduite à tenir ; Trouble psychiatrique ; Hypomanie ; Symptomatologie ; Complication ; Noyau sousthalamique ; Electrode bipolaire ; Stimulus électrique ; Chirurgie stéréotaxique ; Chirurgie ; Traitement ; Parkinson maladie ;

Mots-clés espagnols / Spanish Keywords

Trastorno humor ; Sistema nervioso central ; Encéfalo ; Enfermedad degenerativa ; Extrapiramidal síndrome ; Encéfalo patología ; Sistema nervosio central patología ; Sistema nervioso patología ; Hombre ; Anciano ; Macho ; Estudio caso ; Artículo síntesis ; Actitud médica ; Trastorno psiquiátrico ; Hipomanía ; Sintomatología ; Complicación ; Núcleo subtalámico ; Electrodo bipolar ; Estímulo eléctrico ; Cirugía estereotáxica ; Cirugía ; Tratamiento ; Parkinson enfermedad ;

Localisation / Location

INIST-CNRS, Cote INIST : 9069, 35400011382810.0170