Pathological crying induced by deep brain stimulation of the subthalamic nucleus in Parkinson's disease. (November 2017)

• Record Type: Journal Article
• Authors: Wolf, Marc E.; Abdallat, Mahmoud; Blahak, Christian; Krauss, Joachim K.
• Is Part Of: Journal of clinical neuroscience. Volume 45(2017:Nov.)
• Page Start: 159
• Page End: 161
• Publication Date: 2017-11
• Subjects: Deep brain stimulation -- Parkinson -- Subthalamic nucleus -- Pathological crying; Brain -- Surgery -- Periodicals; Neurosciences -- Periodicals; Nervous system -- Surgery -- Periodicals; Brain -- surgery -- Periodicals; Neurosurgical Procedures -- Periodicals; Neurosciences -- Periodicals; Electronic journals; 616.8
• DOI: 10.1016/j.jocn.2017.08.020
• Languages: English
• ISSNs: 0967-5868

Abstract

Highlights: Pathological crying (PC) appears to be an underappreciated side effect of STN-DBS in Parkinson's disease. Current spread from DBS to adjacent cortico-ponto-cerebellar pathways might be responsible. Patients with Parkinson's disease should actively be asked for PC. Abstract: We report on a patient with deep brain stimulation (DBS) of the subthalamic nucleus (STN) for Parkinson's disease (PD) who developed pathologic crying (PC) immediately postoperatively. A spread of DBS current to adjacent cortico-ponto-cerebellar pathways might be responsible. In contrast to the few cases published previously, there was no pre-existing additional lesion that would have favoured occurrence of PC. Treating physicians should be aware of DBS-induced PC.