Deep Brain Stimulation and the Role of the Neuropsychologist |
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Authors: | Michael S Okun Ramon L Rodriguez Ania Mikos Kimberly Miller Ida Kellison Lindsey Kirsch-Darrow |
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Institution: | 1. Department of Neurology , Gainesville, FL, USA;2. Department of Neurosurgery , Gainesville, FL, USA;3. Department of Psychiatry , Gainesville, FL, USA okun@neurology.ufl.edu;5. Department of Neurology , Gainesville, FL, USA;6. Department of Clinical and Health Psychology , University of Florida, McKnight Brain Institute, Movement Disorders Center , Gainesville, FL, USA |
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Abstract: | Deep brain stimulation (DBS) now plays an important role in the treatment of Parkinson's disease, tremor, and dystonia. DBS may also have a role in the treatment of other disorders such as obsessive-compulsive disorder, Tourette's syndrome, and depression. The neuropsychologist plays a crucial role in patient selection, follow-up, and management of intra-operative and post-operative effects (Pillon, 2002
Pillon , B. ( 2002 ). Neuropsychological assessment for management of patients with deep brain stimulation . Movement Disorders , 17 ( Suppl 3 ), S116 – 122 .Crossref], PubMed] , Google Scholar]; Saint-Cyr & Trepanier, 2000
Trepanier , L. L. ,
Kumar , R. ,
Lozano , A. M. ,
Lang , A. E. , &
Saint-Cyr , J. A. ( 2000 ). Neuropsychological outcome of GPi pallidotomy and GPi or STN deep brain stimulation in Parkinson's disease . Brain and Cognition , 42 ( 3 ), 324 – 347 .Crossref], PubMed], Web of Science ®] , Google Scholar]). There is now emerging evidence that DBS can induce mood, cognitive, and behavioral changes. These changes can have dramatic effects on patient outcome. There have been methodological problems with many of the studies of DBS on mood, cognition, and behavior. The neuropsychologist needs to be aware of these issues when following up patients, and constructing future studies. Additionally, this article will review all aspects of the DBS procedure that can result in mood, cognitive, and behavioral effects and what role(s) the neuropsychologist should play in screening and follow-up. |
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