Manic episode with psychotic symptoms in a patient with Parkinson's disease treated by subthalamic nucleus stimulation:: Improvement on switching the target

被引:43
作者
Raucher-Chene, Delphine [1 ]
Charrel, Claire-Lise [1 ]
de Maindreville, Anne Doe [2 ]
Limosin, Frederic [1 ]
机构
[1] Univ Reims, Hop Robert Debre, Dept Psychiat, F-51100 Reims, France
[2] Univ Reims, Hop Robert Debre, Dept Neurol, F-51100 Reims, France
关键词
deep brain stimulation; subthalamic nucleus; mania;
D O I
10.1016/j.jns.2008.05.022
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Manic symptoms have been reported as adverse effects of bilateral deep brain stimulation (DBS) of the subthalamic nucleus (STN) in patients with Parkinson's disease. In previous reports, manic symptoms were described as transient, not associated with psychotic features, and improved spontaneously or with medical adjustments. The medial part of the STN seems to play a key role in the occurrence of these manic symptoms. We report the case of a manic episode with psychotic symptoms in a patient with Parkinson's disease treated by STN DBS, which improved with a change in the stimulated target. This case demonstrates the efficacy of switching the stimulation target against a manic episode with psychotic features secondary to DBS. (c) 2008 Elsevier B.V. All rights reserved.
引用
收藏
页码:116 / 117
页数:2
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