scholarly journals White matter tracts lesions and decline of verbal fluency after deep brain stimulation in Parkinson's disease

2019 ◽  
Vol 40 (9) ◽  
pp. 2561-2570 ◽  
Author(s):  
Guillaume Costentin ◽  
Stéphane Derrey ◽  
Emmanuel Gérardin ◽  
Yohann Cruypeninck ◽  
Thibaut Pressat‐Laffouilhere ◽  
...  
2013 ◽  
Vol 124 (8) ◽  
pp. e37
Author(s):  
Tsubasa Sada ◽  
Yuka Watanabe ◽  
Madoka Okamura ◽  
Kenichi Hashimoto ◽  
Koichi Hirata

2015 ◽  
Vol 3 (1) ◽  
pp. 48-52
Author(s):  
Vitalii V. Cozac ◽  
Nadine Schwarz ◽  
Habib Bousleiman ◽  
Menorca Chaturvedi ◽  
Michael M. Ehrensperger ◽  
...  

2015 ◽  
Vol 5 (1) ◽  
pp. 95-104 ◽  
Author(s):  
Floriane Le Goff ◽  
Stéphane Derrey ◽  
Romain Lefaucheur ◽  
Alaina Borden ◽  
Damien Fetter ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Valéria de Carvalho Fagundes ◽  
Carlos R. M. Rieder ◽  
Aline Nunes da Cruz ◽  
Bárbara Costa Beber ◽  
Mirna Wetters Portuguez

Introduction.Deep brain stimulation of the subthalamic nucleus (STN-DBS) in Parkinson’s disease (PD) has been linked to a decline in verbal fluency. The decline can be attributed to surgical effects, but the relative contributions of the stimulation parameters are not well understood. This study aimed to investigate the impact of the frequency of STN-DBS on the performance of verbal fluency tasks in patients with PD.Methods.Twenty individuals with PD who received bilateral STN-DBS were evaluated. Their performances of verbal fluency tasks (semantic, phonemic, action, and unconstrained fluencies) upon receiving low-frequency (60 Hz) and high-frequency (130 Hz) STN-DBS were assessed.Results.The performances of phonemic and action fluencies were significantly different between low- and high-frequency STN-DBS. Patients showed a decrease in these verbal fluencies for high-frequency STN-DBS.Conclusion.Low-frequency STN-DBS may be less harmful to the verbal fluency of PD patients.


Author(s):  
Christian Saleh ◽  
Antonia Meyer ◽  
Menorca Chaturvedi ◽  
Selina Beltrani ◽  
Ute Gschwandtner ◽  
...  

<b><i>Objective:</i></b> Deep brain stimulation (DBS) in Parkinson’s disease (PD) is associated with an increased risk of post-operative cognitive deterioration. Preoperative neuropsychological testing can be affected and limited by the patient’s collaboration in advanced disease. The purpose of this study was to determine whether preoperative quantitative electroencephalography (qEEG) may be a useful complementary examination technique during preoperative assessment to predict cognitive changes in PD patients treated with DBS. <b><i>Methods:</i></b> We compared the cognitive performance of 16 PD patients who underwent bilateral subthalamic nucleus DBS to the performance of 15 PD controls (matched for age, sex, and education) at baseline and at 24 months. Cognitive scores were calculated for all patients across 5 domains. A preoperative 256-channel resting EEG was recorded from each patient. We computed the global relative power spectra. Correlation and linear regression models were used to assess associations of preoperative EEG measures with post-operative cognitive scores. <b><i>Results:</i></b> Slow waves (relative delta and theta band power) were negatively correlated with post-operative cognitive performance, while faster waves (alpha 1) were strongly positively correlated with the same scores (the overall cognitive score, attention, and executive function). Linear models revealed an association of delta power with the overall cognitive score (<i>p</i> = 0.00409, adjusted <i>R</i><sup>2</sup> = 0.6341). Verbal fluency (VF) showed a significant decline after DBS surgery, which was correlated with qEEG measures. <b><i>Conclusions:</i></b> To analyse the side effects after DBS in PD patients, the most important parameter is verbal fluency capacity. In addition, correlation with EEG frequency bands might be useful to detect particularly vulnerable patients for cognitive impairment and be supportive in the selection process of patients considered for DBS.


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