An update of the impact of deep brain stimulation on non motor symptoms in Parkinson's disease

J Parkinsons Dis. 2014;4(2):289-300. doi: 10.3233/JPD-130273.

Abstract

Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is a well-established therapy for patients with Parkinson's disease (PD), especially those with advanced motor complications. The effect of STN DBS on non motor symptoms (NMS) of PD is less well studied. In this article, we review the pertinent literature on the impact of STN DBS on NMS when they co-exist with disabling motor symptoms in PD patients. We also present evidence that the number and the severity of most NMS decrease after STN DBS which can have a major impact on patients' quality of life.

Keywords: DBS; Deep brain stimulation; GPi; PD; Parkinson's disease; STN; internal globus pallidus; non motor symptoms; subthalamic nucleus.

Publication types

  • Review

MeSH terms

  • Behavioral Symptoms / complications
  • Behavioral Symptoms / therapy
  • Cognition Disorders / complications
  • Cognition Disorders / therapy
  • Deep Brain Stimulation*
  • Disruptive, Impulse Control, and Conduct Disorders / complications
  • Disruptive, Impulse Control, and Conduct Disorders / therapy
  • Humans
  • Parkinson Disease / complications
  • Parkinson Disease / therapy*
  • Quality of Life
  • Sleep Wake Disorders / complications
  • Sleep Wake Disorders / therapy
  • Subthalamic Nucleus / surgery