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Mood changes with deep brain stimulation of STN and GPi: results of a pilot study
The results of this study suggest that there are mood changes associated with deep brain stimulation of the subthalamic nucleus (STN) and the globus pallidus interna (GPi). Further, optimal placement of electrodes in both STN and GPi seems to result in overall improvement in mood and is associated w...
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Published in: | Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 2003-11, Vol.74 (11), p.1584-1586 |
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container_start_page | 1584 |
container_title | Journal of neurology, neurosurgery and psychiatry |
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creator | Okun, M S Green, J Saben, R Gross, R Foote, K D Vitek, J L |
description | The results of this study suggest that there are mood changes associated with deep brain stimulation of the subthalamic nucleus (STN) and the globus pallidus interna (GPi). Further, optimal placement of electrodes in both STN and GPi seems to result in overall improvement in mood and is associated with a lower incidence of adverse mood effects than stimulation outside the optimal site. Preliminary data from this study, however, suggest that slight movement dorsal or ventral to the site of optimal motor performance may be associated with more adverse changes in mood with STN stimulation than with GPi stimulation. |
doi_str_mv | 10.1136/jnnp.74.11.1584 |
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Further, optimal placement of electrodes in both STN and GPi seems to result in overall improvement in mood and is associated with a lower incidence of adverse mood effects than stimulation outside the optimal site. Preliminary data from this study, however, suggest that slight movement dorsal or ventral to the site of optimal motor performance may be associated with more adverse changes in mood with STN stimulation than with GPi stimulation.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.74.11.1584</identifier><identifier>PMID: 14617726</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Affective disorders ; Aged ; Anxiety ; Apathy ; Biological and medical sciences ; Brain ; Brain stimulation ; Causes of ; cognition ; Cognition & reasoning ; deep brain stimulation ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Dementia ; Dopamine ; Electric Stimulation Therapy - adverse effects ; Emotions ; Female ; Geriatrics ; Globus Pallidus - pathology ; Globus Pallidus - physiology ; globus pallidus interna ; Humans ; Influence ; Male ; Medical sciences ; Mental depression ; Middle Aged ; Mood Disorders - etiology ; Neurology ; Parkinson Disease - therapy ; Parkinson's disease ; Physiological aspects ; Short Report ; Statistics ; Studies ; Substance abuse treatment ; subthalamic nucleus ; Subthalamic Nucleus - pathology ; Subthalamic Nucleus - physiology ; Thalamus</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 2003-11, Vol.74 (11), p.1584-1586</ispartof><rights>Copyright 2003 Journal of Neurology Neurosurgery and Psychiatry</rights><rights>2004 INIST-CNRS</rights><rights>COPYRIGHT 2003 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2003 Copyright 2003 Journal of Neurology Neurosurgery and Psychiatry</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b597t-fc396dfabd501ed4ccb77ba01eb7bb392de1d205643bc62d101f11310462edd23</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1738229/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1738229/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15235659$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14617726$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okun, M S</creatorcontrib><creatorcontrib>Green, J</creatorcontrib><creatorcontrib>Saben, R</creatorcontrib><creatorcontrib>Gross, R</creatorcontrib><creatorcontrib>Foote, K D</creatorcontrib><creatorcontrib>Vitek, J L</creatorcontrib><title>Mood changes with deep brain stimulation of STN and GPi: results of a pilot study</title><title>Journal of neurology, neurosurgery and psychiatry</title><addtitle>J Neurol Neurosurg Psychiatry</addtitle><description>The results of this study suggest that there are mood changes associated with deep brain stimulation of the subthalamic nucleus (STN) and the globus pallidus interna (GPi). Further, optimal placement of electrodes in both STN and GPi seems to result in overall improvement in mood and is associated with a lower incidence of adverse mood effects than stimulation outside the optimal site. Preliminary data from this study, however, suggest that slight movement dorsal or ventral to the site of optimal motor performance may be associated with more adverse changes in mood with STN stimulation than with GPi stimulation.</description><subject>Affective disorders</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Apathy</subject><subject>Biological and medical sciences</subject><subject>Brain</subject><subject>Brain stimulation</subject><subject>Causes of</subject><subject>cognition</subject><subject>Cognition & reasoning</subject><subject>deep brain stimulation</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Dementia</subject><subject>Dopamine</subject><subject>Electric Stimulation Therapy - adverse effects</subject><subject>Emotions</subject><subject>Female</subject><subject>Geriatrics</subject><subject>Globus Pallidus - pathology</subject><subject>Globus Pallidus - physiology</subject><subject>globus pallidus interna</subject><subject>Humans</subject><subject>Influence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Mood Disorders - etiology</subject><subject>Neurology</subject><subject>Parkinson Disease - therapy</subject><subject>Parkinson's disease</subject><subject>Physiological aspects</subject><subject>Short Report</subject><subject>Statistics</subject><subject>Studies</subject><subject>Substance abuse treatment</subject><subject>subthalamic nucleus</subject><subject>Subthalamic Nucleus - pathology</subject><subject>Subthalamic Nucleus - physiology</subject><subject>Thalamus</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><recordid>eNqFkttv0zAUhyMEYt3gmTdkCcEDUjrfEic8IE3VGKCugCgVb5ZvaV0Su9gJsP8eR61WQJOwH-xjf-fys0-WPUFwihApz7fO7aaMJmOKioreyyaIllVOCPx6P5tAiHFOYAFPstMYt3AcVf0wO0kQYgyXk-zTtfcaqI1waxPBT9tvgDZmB2QQ1oHY225oRW-9A74Bn5cLIJwGVx_tKxBMHNo-jucC7Gzr-4QP-uZR9qARbTSPD-tZ9uXN5XL2Np9_uHo3u5jnsqhZnzeK1KVuhNQFREZTpSRjUqS9ZFKSGmuDNIZFSYlUJdYIoiZJRpCW2GiNyVn2eh93N8jOaGVcH0TLd8F2ItxwLyz_-8bZDV_7HxwxUmFcpwAvDgGC_z6Y2PPORmXaVjjjh8gZIoxQSBP47B9w64fgkrgUq0KYUERhovI9tRat4dY1PmVVa-NMSu6daWw6vkBJQ0FgNdY_vYNPU5vOqjsdzvcOKvgYg2lutSLIx27gYzdwRpPBx25IHk__fKIjf_j-BDw_ACIq0TZBOGXjkSswKcqiPmqzsTe_bu9F-MZLRljBF6sZv36_Ws7resUXiX-552W3_W-VvwEzGdmo</recordid><startdate>20031101</startdate><enddate>20031101</enddate><creator>Okun, M S</creator><creator>Green, J</creator><creator>Saben, R</creator><creator>Gross, R</creator><creator>Foote, K D</creator><creator>Vitek, J L</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20031101</creationdate><title>Mood changes with deep brain stimulation of STN and GPi: results of a pilot study</title><author>Okun, M S ; Green, J ; Saben, R ; Gross, R ; Foote, K D ; Vitek, J L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b597t-fc396dfabd501ed4ccb77ba01eb7bb392de1d205643bc62d101f11310462edd23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Affective disorders</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Apathy</topic><topic>Biological and medical sciences</topic><topic>Brain</topic><topic>Brain stimulation</topic><topic>Causes of</topic><topic>cognition</topic><topic>Cognition & reasoning</topic><topic>deep brain stimulation</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</topic><topic>Dementia</topic><topic>Dopamine</topic><topic>Electric Stimulation Therapy - adverse effects</topic><topic>Emotions</topic><topic>Female</topic><topic>Geriatrics</topic><topic>Globus Pallidus - pathology</topic><topic>Globus Pallidus - physiology</topic><topic>globus pallidus interna</topic><topic>Humans</topic><topic>Influence</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Mood Disorders - etiology</topic><topic>Neurology</topic><topic>Parkinson Disease - therapy</topic><topic>Parkinson's disease</topic><topic>Physiological aspects</topic><topic>Short Report</topic><topic>Statistics</topic><topic>Studies</topic><topic>Substance abuse treatment</topic><topic>subthalamic nucleus</topic><topic>Subthalamic Nucleus - pathology</topic><topic>Subthalamic Nucleus - physiology</topic><topic>Thalamus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okun, M S</creatorcontrib><creatorcontrib>Green, J</creatorcontrib><creatorcontrib>Saben, R</creatorcontrib><creatorcontrib>Gross, R</creatorcontrib><creatorcontrib>Foote, K D</creatorcontrib><creatorcontrib>Vitek, J L</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Proquest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database (ProQuest)</collection><collection>ProQuest Science Journals</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okun, M S</au><au>Green, J</au><au>Saben, R</au><au>Gross, R</au><au>Foote, K D</au><au>Vitek, J L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mood changes with deep brain stimulation of STN and GPi: results of a pilot study</atitle><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle><addtitle>J Neurol Neurosurg Psychiatry</addtitle><date>2003-11-01</date><risdate>2003</risdate><volume>74</volume><issue>11</issue><spage>1584</spage><epage>1586</epage><pages>1584-1586</pages><issn>0022-3050</issn><eissn>1468-330X</eissn><coden>JNNPAU</coden><abstract>The results of this study suggest that there are mood changes associated with deep brain stimulation of the subthalamic nucleus (STN) and the globus pallidus interna (GPi). Further, optimal placement of electrodes in both STN and GPi seems to result in overall improvement in mood and is associated with a lower incidence of adverse mood effects than stimulation outside the optimal site. Preliminary data from this study, however, suggest that slight movement dorsal or ventral to the site of optimal motor performance may be associated with more adverse changes in mood with STN stimulation than with GPi stimulation.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>14617726</pmid><doi>10.1136/jnnp.74.11.1584</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Affective disorders Aged Anxiety Apathy Biological and medical sciences Brain Brain stimulation Causes of cognition Cognition & reasoning deep brain stimulation Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Dementia Dopamine Electric Stimulation Therapy - adverse effects Emotions Female Geriatrics Globus Pallidus - pathology Globus Pallidus - physiology globus pallidus interna Humans Influence Male Medical sciences Mental depression Middle Aged Mood Disorders - etiology Neurology Parkinson Disease - therapy Parkinson's disease Physiological aspects Short Report Statistics Studies Substance abuse treatment subthalamic nucleus Subthalamic Nucleus - pathology Subthalamic Nucleus - physiology Thalamus |
title | Mood changes with deep brain stimulation of STN and GPi: results of a pilot study |
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