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A manic episode after bilateral subthalamic stimulation in a patient with advanced Parkinson's disease

Published online by Cambridge University Press:  01 August 2013

Isabel Claeys ,
Patrick Santens ,
Dirk Van den Abbeele ,
Dirk Van Roost  and
Gilbert MD Lemmens
Isabel Claeys*
Affiliation:
Department of Psychiatry, Ghent University Hospital, Ghent, Belgium
Patrick Santens
Affiliation:
Department of Neurology, Ghent University Hospital, Ghent, Belgium
Dirk Van den Abbeele
Affiliation:
Department of Psychiatry, Ghent University Hospital, Ghent, Belgium
Dirk Van Roost
Affiliation:
Department of Neurosurgery, Ghent University Hospital, Ghent, Belgium
Gilbert MD Lemmens
Affiliation:
Department of Psychiatry, Ghent University Hospital, Ghent, Belgium
*
Isabel Claeys, Department of Psychiatry, University Hospital Ghent, Ghent, Belgium Tel: 0032-(0)9/332.71.58; Fax: 0032-(0)9/260.35.00; E-mail: Isabel.Claeys@azmmsj.be
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Abstract

Deep brain stimulation (DBS) has proven to be an effective treatment for patients with refractory symptoms in the advanced stages of Parkinson's disease. However, different psychiatric and cognitive problems may occur after DBS. We report a case of a manic episode after DBS of the subthalamic nucleus in a patient with advanced Parkinson's disease. After slow and gradually restart of the neurostimulation using the lowest effective intensity, the motor symptoms remained sufficiently under control without causing any psychiatric problems.

Keywords

bilateral subthalamic stimulationmaniaParkinson's disease
Type
Case Report
Information
Acta Neuropsychiatrica , Volume 25 , Issue 6 , December 2013 , pp. 367 - 369
Copyright
Copyright © Scandinavian College of Neuropsychopharmacology 2013 

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References

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