Motor Function Improvement After Electroconvulsive Therapy in a Parkinson’s Disease Patient With Deep Brain Stimulator

Recent publications have demonstrated that deep brain stimulation for Parkinson's disease still exerts beneficial effects on tremor, rigidity, and bradykinesia for up to 10 years after implantation of the stimulator. However with the progression of Parkinson's disease, features such as cognitive decline or “freezing” become prominent, and the presence of an implanted and functioning deep brain stimulator can impose a profound burden of care on the clinical team and family. The authors describe their experience in treating 4 patients who underwent removal of the implanted device due to either progressive dementia requiring full-time nursing or due to infection, and who subsequently underwent a unilateral pallidotomy.

Download Full-text

Young age and severity of motor function are risk factors for psychosis after subthalamic nucleus deep brain stimulation for Parkinson's disease

Psychiatry and Clinical Neurosciences ◽

10.1111/pcn.12991 ◽

2020 ◽

Vol 74 (5) ◽

pp. 328-329

Author(s):

Masanobu Ito ◽

Fuyuko Sasaki ◽

Narimasa Katsuta ◽

Satoko Sekimoto ◽

Takayuki Jo ◽

...

Keyword(s):

Risk Factors ◽

Parkinson’S Disease ◽

Parkinson's Disease ◽

Deep Brain Stimulation ◽

Subthalamic Nucleus ◽

Motor Function ◽

Brain Stimulation ◽

Young Age ◽

Deep Brain

Download Full-text

Effects of Neurosurgical Management of Parkinson's Disease on Speech Characteristics and Oromotor Function

Journal of Speech Language and Hearing Research ◽

10.1044/1092-4388(2005/002) ◽

2005 ◽

Vol 48 (1) ◽

pp. 5-20 ◽

Cited By ~ 19

Author(s):

Anna Farrell ◽

Deborah Theodoros ◽

Elizabeth Ward ◽

Bruce Hall ◽

Peter Silburn

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Motor Function ◽

Speech Intelligibility ◽

General Motor ◽

Neurologically Impaired ◽

Speech Characteristics ◽

Participant Group ◽

Neurosurgical Intervention ◽

Deep Brain

The present study examined the effects of neurosurgical management of Parkinson’s disease (PD), including the procedures of pallidotomy, thalamotomy, and deep-brain stimulation (DBS) on perceptual speech characteristics, speech intelligibility, and oromotor function in a group of 22 participants with PD. The surgical participant group was compared with a group of 25 non-neurologically impaired individuals matched for age and sex. In addition, the study investigated 16 participants with PD who did not undergo neurosurgical management to control for disease progression. Results revealed that neurosurgical intervention did not significantly change the surgical participants’ perceptual speech dimensions or oromotor function despite significant postoperative improvements in ratings of general motor function and disease severity. Reasons why neurosurgical intervention resulted in dissimilar outcomes with respect to participants’ perceptual speech dimensions and general motor function are proposed.

Download Full-text