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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
Main Authors: Sisodia, Vibuthi, Malekzadeh, Arjan, Verwijk, Esmée, Schuurman, P. Richard, Bie, Rob M.A., Swinnen, Bart E.K.S.
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container_end_page 915
container_issue 5
container_start_page 910
container_title Movement disorders
container_volume 39
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
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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 &amp; Sons, Inc</publisher><subject>cognition ; Cognition &amp; 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. 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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. 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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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