Postsurgical behavioral changes

Jay A Van Gerpen, John A Lucas, Julie A Fields

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Parkinson's disease (PD) is the second most common neurodegenerative disease (Twelves D, Perkins KS, Counsell C. Mov Disord 18:19-31, 2003) and af flicts more than four million people worldwide (Dorsey ER, Constantinescu R, Thompson JP, et al. Neurology 68:384-386, 2007). Neurosurgical treatments for the debilitating symptoms of this movement disorder are implemented when medical therapy no longer provides sufficient benefit. Lesioning techniques initially utilized decades ago have been supplanted, for the most part, by deep brain stimulation (DBS) because of its potential reversibility should DBS prove to be unsuccessful or result in undue adverse events. Additionally, stimulation parameters can be adjusted as needed to optimize benefit (from both motor and neurobehavioral standpoints), and when bilateral procedures are necessary, DBS procedures are considered a safer alternative or adjunct to ablation. Stimulation of the subthalamic nucleus (STN) is currently the target of choice because it relieves most of the cardinal symptoms of PD and greatly reduces the amount of medication needed.

Original languageEnglish (US)
Title of host publicationParkinson's Disease and Nonmotor Dysfunction
Subtitle of host publicationSecond Edition
PublisherHumana Press Inc.
Pages91-117
Number of pages27
ISBN (Electronic)9781607614296
ISBN (Print)9781607614289
DOIs
StatePublished - Jan 1 2013

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Keywords

  • Cognition
  • Deep brain stimulation
  • Mood
  • Neurosurgery
  • Pallidal stimulation
  • Pallidotomy
  • Parkinson's disease
  • Psychiatric symptoms
  • Subthalamic stimulation
  • Subthalamotomy
  • Thalamic stimulation
  • Thalamotomy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Van Gerpen, J. A., Lucas, J. A., & Fields, J. A. (2013). Postsurgical behavioral changes. In Parkinson's Disease and Nonmotor Dysfunction: Second Edition (pp. 91-117). Humana Press Inc.. https://doi.org/10.1007/978-1-60761-429-6_6