Full access

Features

Published Online: 26 February 2015

The Psychiatric and Neuropsychiatric Symptoms After Subthalamic Stimulation for Parkinson’s Disease

Philip E. Mosley, M.A., B.M.B.Ch., and Rodney Marsh, M.B.B.S., F.R.A.N.Z.C.P.Authors Info & Affiliations

Publication: The Journal of Neuropsychiatry and Clinical Neurosciences

Volume 27, Number 1

https://doi.org/10.1176/appi.neuropsych.14040069

PDF/EPUB OtherFormats

Abstract

Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is an established treatment for the motor symptoms of Parkinson’s disease (PD). Nonmotor features of PD, however, may not improve with STN DBS, and a specific constellation of neuropsychiatric symptoms may emerge in the postoperative period. Mania, impulsivity, depression, and apathy may curtail the potential gains from surgery. In this paper, the authors discuss surgical candidacy, postoperative management of neuropsychiatric issues, and clinical dilemmas for the psychiatrist at the DBS center. A paradigm that considers stimulation effects and dopamine replacement therapy to be key drivers of postoperative neuropsychiatric problems is presented.

Formats available

You can view the full content in the following formats:

View PDF/EPUB View Full Text

Information & Authors

Information

Published In

The Journal of Neuropsychiatry and Clinical Neurosciences

Volume 27 • Number 1 • Winter 2015

Pages: 19 - 26

PubMed: 25716484

History

Received: 1 April 2014

Accepted: 6 May 2014

Published in print: Winter 2015

Published online: 26 February 2015

Authors

Details

Philip E. Mosley, M.A., B.M.B.Ch.

From the The University of Queensland, UQ Centre for Clinical Research, Herston, Queensland, Australia; Dept. of Psychiatry, Royal Brisbane & Women’s Hospital, Herston, Queensland, Australia; and Neurosciences Queensland, St Andrew’s War Memorial Hospital, Spring Hill, Queensland, Australia

View all articles by this author

Rodney Marsh, M.B.B.S., F.R.A.N.Z.C.P.

View all articles by this author

Notes

Send correspondence to Philip E. Mosley, M.A.; e-mail: [email protected]

Metrics & Citations

Metrics

Citations

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Format	RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks
Direct importt
Citation style
Style

Copy to clipboard
Tips for downloading citations

View Options

View options

PDF/EPUB

View PDF/EPUB

Full Text

View Full Text

Login options

Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.

Personal login Institutional Login Open Athens login

Purchase Options

Purchase this article to access the full text.

PPV Articles - Journal of Neuropsychiatry and Clinical Neurosciences

Not a subscriber?

Subscribe Now / Learn More

PsychiatryOnline subscription options offer access to the DSM-5-TR^® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

The Psychiatric and Neuropsychiatric Symptoms After Subthalamic Stimulation for Parkinson’s Disease

Abstract

Formats available