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Bidirectional Interplay between Deep Brain Stimulation and Cognition in Parkinson's Disease: A Systematic Review
Background Deep brain stimulation (DBS) is efficacious for treating motor symptoms in Parkinson's disease (PD). Objectives The aim is to evaluate the evidence regarding DBS effectiveness after postoperative cognitive deterioration, the impact of preoperative cognition on DBS effectiveness, and...
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Published in: | Movement disorders 2024-05, Vol.39 (5), p.910-915 |
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container_title | Movement disorders |
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creator | Sisodia, Vibuthi Malekzadeh, Arjan Verwijk, Esmée Schuurman, P. Richard Bie, Rob M.A. Swinnen, Bart E.K.S. |
description | Background
Deep brain stimulation (DBS) is efficacious for treating motor symptoms in Parkinson's disease (PD).
Objectives
The aim is to evaluate the evidence regarding DBS effectiveness after postoperative cognitive deterioration, the impact of preoperative cognition on DBS effectiveness, and the impact of DBS on cognition.
Methods
Literature searches were performed on MEDLINE, EMBASE, and CENTRAL (Cochrane library). Primary outcomes were OFF‐drug Unified Parkinson Disease Rating Scale Part III score and cognitive test scores.
Results
DBS effectiveness did not differ in patients with postoperative declining compared to stable cognition (n = 5 studies). Preoperative cognition did not influence DBS effectiveness (n = 1 study). DBS moderately decreased verbal fluency compared to the best medical treatment (n = 24 studies), which may be transient.
Conclusion
DBS motor effectiveness in PD does not appear to be influenced by cognition. DBS in PD seems cognitively safe, except for a moderate decline in verbal fluency. Further research is warranted. © 2024 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society. |
doi_str_mv | 10.1002/mds.29772 |
format | article |
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Deep brain stimulation (DBS) is efficacious for treating motor symptoms in Parkinson's disease (PD).
Objectives
The aim is to evaluate the evidence regarding DBS effectiveness after postoperative cognitive deterioration, the impact of preoperative cognition on DBS effectiveness, and the impact of DBS on cognition.
Methods
Literature searches were performed on MEDLINE, EMBASE, and CENTRAL (Cochrane library). Primary outcomes were OFF‐drug Unified Parkinson Disease Rating Scale Part III score and cognitive test scores.
Results
DBS effectiveness did not differ in patients with postoperative declining compared to stable cognition (n = 5 studies). Preoperative cognition did not influence DBS effectiveness (n = 1 study). DBS moderately decreased verbal fluency compared to the best medical treatment (n = 24 studies), which may be transient.
Conclusion
DBS motor effectiveness in PD does not appear to be influenced by cognition. DBS in PD seems cognitively safe, except for a moderate decline in verbal fluency. Further research is warranted. © 2024 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.</description><identifier>ISSN: 0885-3185</identifier><identifier>EISSN: 1531-8257</identifier><identifier>DOI: 10.1002/mds.29772</identifier><identifier>PMID: 38429947</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>cognition ; Cognition & reasoning ; Cognition - physiology ; Cognitive Dysfunction - etiology ; Cognitive Dysfunction - therapy ; Deep brain stimulation ; Deep Brain Stimulation - methods ; dementia ; Humans ; Medical treatment ; Movement disorders ; Neurodegenerative diseases ; Parkinson Disease - complications ; Parkinson Disease - therapy ; Parkinson's disease</subject><ispartof>Movement disorders, 2024-05, Vol.39 (5), p.910-915</ispartof><rights>2024 The Authors. published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.</rights><rights>2024 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-8098-880X ; 0000-0001-5267-0784 ; 0000-0003-2671-9454</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38429947$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sisodia, Vibuthi</creatorcontrib><creatorcontrib>Malekzadeh, Arjan</creatorcontrib><creatorcontrib>Verwijk, Esmée</creatorcontrib><creatorcontrib>Schuurman, P. Richard</creatorcontrib><creatorcontrib>Bie, Rob M.A.</creatorcontrib><creatorcontrib>Swinnen, Bart E.K.S.</creatorcontrib><title>Bidirectional Interplay between Deep Brain Stimulation and Cognition in Parkinson's Disease: A Systematic Review</title><title>Movement disorders</title><addtitle>Mov Disord</addtitle><description>Background
Deep brain stimulation (DBS) is efficacious for treating motor symptoms in Parkinson's disease (PD).
Objectives
The aim is to evaluate the evidence regarding DBS effectiveness after postoperative cognitive deterioration, the impact of preoperative cognition on DBS effectiveness, and the impact of DBS on cognition.
Methods
Literature searches were performed on MEDLINE, EMBASE, and CENTRAL (Cochrane library). Primary outcomes were OFF‐drug Unified Parkinson Disease Rating Scale Part III score and cognitive test scores.
Results
DBS effectiveness did not differ in patients with postoperative declining compared to stable cognition (n = 5 studies). Preoperative cognition did not influence DBS effectiveness (n = 1 study). DBS moderately decreased verbal fluency compared to the best medical treatment (n = 24 studies), which may be transient.
Conclusion
DBS motor effectiveness in PD does not appear to be influenced by cognition. DBS in PD seems cognitively safe, except for a moderate decline in verbal fluency. Further research is warranted. © 2024 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.</description><subject>cognition</subject><subject>Cognition & reasoning</subject><subject>Cognition - physiology</subject><subject>Cognitive Dysfunction - etiology</subject><subject>Cognitive Dysfunction - therapy</subject><subject>Deep brain stimulation</subject><subject>Deep Brain Stimulation - methods</subject><subject>dementia</subject><subject>Humans</subject><subject>Medical treatment</subject><subject>Movement disorders</subject><subject>Neurodegenerative diseases</subject><subject>Parkinson Disease - complications</subject><subject>Parkinson Disease - therapy</subject><subject>Parkinson's disease</subject><issn>0885-3185</issn><issn>1531-8257</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNpdkc1O6zAQhS0Egl5gwQsgSyy4m4B_Y4ddaeGCBAJRWFuOM0GGxAlxQtW3JxQuC1Yzo_PNSHMOQgeUnFBC2GldxBOWKcU20IRKThPNpNpEE6K1TDjVcgf9ifGFEEolTbfRDteCZZlQE9Se-8J34HrfBFvh69BD11Z2hXPolwABzwFafN5ZH_Ci9_VQ2U8U21DgWfMc_HoaxXvbvfoQm3Ac8dxHsBHO8BQvVrGHetxx-AHePSz30FZpqwj733UXPV1ePM6ukpu7f9ez6U3ScipYIsY_uHN5bh0TOSsIqJxnMnVSpVwx5WhaMGdLrcuSQMmLUliZK1VyQbUgGd9Ff7_utl3zNkDsTe2jg6qyAZohGpZxwVSartGjX-hLM3SjHdFwIqXmlHIyUoff1JDXUJi287XtVua_lyNw-gUsfQWrH50S8xmSGUMy65DM7XyxbvgH6NyDyg</recordid><startdate>202405</startdate><enddate>202405</enddate><creator>Sisodia, Vibuthi</creator><creator>Malekzadeh, Arjan</creator><creator>Verwijk, Esmée</creator><creator>Schuurman, P. Richard</creator><creator>Bie, Rob M.A.</creator><creator>Swinnen, Bart E.K.S.</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8098-880X</orcidid><orcidid>https://orcid.org/0000-0001-5267-0784</orcidid><orcidid>https://orcid.org/0000-0003-2671-9454</orcidid></search><sort><creationdate>202405</creationdate><title>Bidirectional Interplay between Deep Brain Stimulation and Cognition in Parkinson's Disease: A Systematic Review</title><author>Sisodia, Vibuthi ; Malekzadeh, Arjan ; Verwijk, Esmée ; Schuurman, P. Richard ; Bie, Rob M.A. ; Swinnen, Bart E.K.S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p3142-41533ccbbac24b2d0e7b3956c5763727c16d2caf88ff0ef3df4a5b77f34184093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>cognition</topic><topic>Cognition & reasoning</topic><topic>Cognition - physiology</topic><topic>Cognitive Dysfunction - etiology</topic><topic>Cognitive Dysfunction - therapy</topic><topic>Deep brain stimulation</topic><topic>Deep Brain Stimulation - methods</topic><topic>dementia</topic><topic>Humans</topic><topic>Medical treatment</topic><topic>Movement disorders</topic><topic>Neurodegenerative diseases</topic><topic>Parkinson Disease - complications</topic><topic>Parkinson Disease - therapy</topic><topic>Parkinson's disease</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sisodia, Vibuthi</creatorcontrib><creatorcontrib>Malekzadeh, Arjan</creatorcontrib><creatorcontrib>Verwijk, Esmée</creatorcontrib><creatorcontrib>Schuurman, P. Richard</creatorcontrib><creatorcontrib>Bie, Rob M.A.</creatorcontrib><creatorcontrib>Swinnen, Bart E.K.S.</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Movement disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sisodia, Vibuthi</au><au>Malekzadeh, Arjan</au><au>Verwijk, Esmée</au><au>Schuurman, P. Richard</au><au>Bie, Rob M.A.</au><au>Swinnen, Bart E.K.S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bidirectional Interplay between Deep Brain Stimulation and Cognition in Parkinson's Disease: A Systematic Review</atitle><jtitle>Movement disorders</jtitle><addtitle>Mov Disord</addtitle><date>2024-05</date><risdate>2024</risdate><volume>39</volume><issue>5</issue><spage>910</spage><epage>915</epage><pages>910-915</pages><issn>0885-3185</issn><eissn>1531-8257</eissn><abstract>Background
Deep brain stimulation (DBS) is efficacious for treating motor symptoms in Parkinson's disease (PD).
Objectives
The aim is to evaluate the evidence regarding DBS effectiveness after postoperative cognitive deterioration, the impact of preoperative cognition on DBS effectiveness, and the impact of DBS on cognition.
Methods
Literature searches were performed on MEDLINE, EMBASE, and CENTRAL (Cochrane library). Primary outcomes were OFF‐drug Unified Parkinson Disease Rating Scale Part III score and cognitive test scores.
Results
DBS effectiveness did not differ in patients with postoperative declining compared to stable cognition (n = 5 studies). Preoperative cognition did not influence DBS effectiveness (n = 1 study). DBS moderately decreased verbal fluency compared to the best medical treatment (n = 24 studies), which may be transient.
Conclusion
DBS motor effectiveness in PD does not appear to be influenced by cognition. DBS in PD seems cognitively safe, except for a moderate decline in verbal fluency. Further research is warranted. © 2024 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>38429947</pmid><doi>10.1002/mds.29772</doi><tpages>29</tpages><orcidid>https://orcid.org/0000-0002-8098-880X</orcidid><orcidid>https://orcid.org/0000-0001-5267-0784</orcidid><orcidid>https://orcid.org/0000-0003-2671-9454</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | cognition Cognition & reasoning Cognition - physiology Cognitive Dysfunction - etiology Cognitive Dysfunction - therapy Deep brain stimulation Deep Brain Stimulation - methods dementia Humans Medical treatment Movement disorders Neurodegenerative diseases Parkinson Disease - complications Parkinson Disease - therapy Parkinson's disease |
title | Bidirectional Interplay between Deep Brain Stimulation and Cognition in Parkinson's Disease: A Systematic Review |
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