Neuropsychological functioning in a patient with essential tremor with and without bilateral VIM stimulation

John A. Lucas, Julie D. Rippeth, Ryan J. Uitti, Elizabeth A. Shuster, Robert E. Wharen

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

The effects of deep brain stimulation on motor functions, cognitive abilities, and mood were assessed in an 80-year-old, right-handed male with a chronic history of essential tremor. Electrodes were implanted bilaterally in the ventral intermediate nucleus of the thalamus during a single operation. Upon evaluation at 3 months postsurgery, bilateral stimulation was associated with a clinically significant reduction in tremor ratings and improvement in manual dexterity. At that time, a battery of neuropsychological measures was administered with and without bilateral stimulation. The patient demonstrated comparable performances on measures of visuospatial perception, attention, mental tracking, verbal learning, and verbal recognition memory in both the 'on' and 'off' conditions. Without stimulation, the patient demonstrated declines of greater than 1 SD on measures of verbal fluency and verbal recall compared to when the stimulators were active. Responses to mood rating scales also indicated greater subjective distress without stimulation. Results are discussed in the context of previous studies of the effects of thalamic stimulation on neurocognitive functioning. (C) 2000 Academic Press.

Original languageEnglish (US)
Pages (from-to)253-267
Number of pages15
JournalBrain and Cognition
Volume42
Issue number2
DOIs
StatePublished - Mar 2000

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Experimental and Cognitive Psychology
  • Developmental and Educational Psychology
  • Arts and Humanities (miscellaneous)
  • Cognitive Neuroscience

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