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Parkinsonism Relat Disord. 2012 Sep;18(8):994-7. doi: 10.1016/j.parkreldis.2012.05.011. Epub 2012 Jun 7.

Immediate effects of deep brain stimulation of the subthalamic nucleus on nonmotor symptoms in Parkinson's disease.

Author information

1
Division of Neurodegenerative Diseases, Department of Neurology, Dresden University of Technology, Fetscherstrasse 74,Dresden, Germany.

Erratum in

  • Parkinsonism Relat Disord. 2013 Dec;19(12):1181. Koy, Jan [added]; Schackert, Gabriele [added].

Abstract

OBJECTIVE:

To assess the immediate effects of deep brain stimulation of the subthalamic nucleus (STN-DBS) on nonmotor symptoms (NMS) in Parkinson's disease (PD).

BACKGROUND:

Immediate effects of STN-DBS on motor functions are well accepted, but similar data on NMS are mainly lacking.

METHODS:

34 PD patients who received bilateral STN-DBS were examined in medication Off state for frequency and severity of 10 NMS (dysphagia, anxiety, depression, fatigue, excessive sweating, inner restlessness, pain, concentration/attention, dizziness, bladder urgency) using a visual analogue scale (VAS) with STN-DBS Off and On. Motor assessments were done using UPDRS part III.

RESULTS:

Independent of STN-DBS status, most frequent NMS was fatigue (85% of patients), followed by problems with concentration/attention (71%) and inner restlessness (53%). Frequencies of most NMS were similar in both STN-DBS statuses, while only inner restlessness was significantly decreased by STN-DBS. Severities of most NMS were significantly improved by STN-DBS on the cohort level, while only excessive sweating, pain and dizziness did not show significant severity changes. However, variable proportions of patients (15-71%, depending on the NMS) reported relevant improvements (>10% on VAS) by STN-DBS with fatigue showing the largest proportion of patients with symptom improvement (71%). There were no correlations of severity changes of NMS with motor improvement, demographic data and medication.

CONCLUSION:

STN-DBS does not have major immediate effects on frequencies of NMS, but improves most NMS particularly psychiatric symptoms such as depression, anxiety and fatigue in a variable subset of patients. There is no indication that STN-DBS worsens NMS.

[Indexed for MEDLINE]

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