Subthalamic stimulation has acute psychotropic effects and improves neuropsychiatric fluctuations in Parkinson’s disease

Autor: Mário Sousa, Paul Krack, Ines Debove, Martin Lenard Lachenmayer, Pablo Martinez-Martin, Carmen Rodriguez-Blazquez, Andreia D Magalhães, Deborah Amstutz, Katrin Petermann, Marie E Maradan-Gachet, Julia Waskönig, Sandra Murcia-Carretero, Andreas Antonios Diamantaras, Gerd Tinkhauser, Andreas Nowacki, Claudio Pollo
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMJ Neurology Open, Vol 6, Iss 1 (2024)
Druh dokumentu: article
ISSN: 2632-6140
DOI: 10.1136/bmjno-2023-000524
Popis: Background Subthalamic nucleus deep brain stimulation (STN-DBS) is a well-established treatment for motor complications in Parkinson’s disease (PD). However, its effects on neuropsychiatric symptoms remain disputed. The aim of this study was to evaluate the effects of STN-DBS on neuropsychiatric symptoms in PD.Methods We retrospectively assessed 26 patients with PD who underwent a preoperative levodopa challenge and postoperative levodopa and stimulation challenges 1 year after STN-DBS. Based on the Neuropsychiatric Fluctuations Scale, Neuropsychiatric State Scores and Neuropsychiatric Fluctuation Indices (NFIs) were calculated. Mixed-effects models with random effects for intercept were used to examine the association of Neuropsychiatric State Score and NFI with the different assessment conditions.Results In acute challenge conditions, there was an estimated increase of 15.9 points in the Neuropsychiatric State Score in stimulation ON conditions (95% CI 11.4 to 20.6, p
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