Functional Movement Disorders and Deep Brain Stimulation

被引：1

作者：

Boogers, Alexandra ^{[1
,2
]}

Fasano, Alfonso ^{[1
,2
,3
,4
]}

机构：

[1] Univ Toronto, Edmond J Safra Program Parkinsons Dis, Toronto Western Hosp, UHN,Div Neurol, Toronto, ON, Canada

[2] Univ Toronto, Toronto Western Hosp, Div Neurol, Morton & Gloria Shulman Movement Disorders Clin,UH, Toronto, ON, Canada

[3] Krembil Brain Inst, Toronto, ON, Canada

[4] Ctr Adv Neurotechnol Innovat Applicat CRANIA, Toronto, ON, Canada

来源：

NEUROLOGY-CLINICAL PRACTICE | 2025年 / 15卷 / 01期

关键词：

POSTTRAUMATIC-STRESS-DISORDER; PARKINSONS-DISEASE; DOUBLE-BLIND; SUBTHALAMIC NUCLEUS; PALLIDAL STIMULATION; CARDIAC-SURGERY; DYSTONIA; METAANALYSIS; MULTICENTER; DIAGNOSIS;

D O I：

10.1212/CPJ.0000000000200367

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Purpose of the ReviewThe aim of this narrative review was to explore the interplay between functional movement disorders (FMDs) and deep brain stimulation (DBS).Recent FindingsPatients with unrecognized FMD who are referred for DBS usually present with functional dystonia. By contrast, patients who present with FMD after DBS are mostly presenting with functional tremor, in keeping with non-DBS FMD cohorts. Comorbid presentation of FMD in established DBS indications makes the decision to opt for surgery challenging. Many contributing factors can play a role in the development of FMD, including the trauma caused by awake neurosurgery and/or extensive DBS programming.SummaryFMDs in the context of DBS are often overlooked and should be diagnosed promptly because they determine surgical outcome. The approach to DBS candidates with comorbid FMD and the risk factors of FMD after DBS should be further explored.

引用

页数：10

共 59 条

[1] Functional tremor developing after successful MRI-guided focused ultrasound thalamotomy for essential tremor [J].