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Psychologische aspecten van DBS

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Handboek diepe hersenstimulatie bij neurologische en psychiatrische aandoeningen

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Samenvatting

Diepe hersenstimulatie (‘deep brain stimulation’, DBS) bij bewegingsstoornissen en psychiatrische aandoeningen kan bij een deel van de patiënten gepaard gaan met veranderingen in de cognitie, de stemming en het gedrag. Deze veranderingen worden door meerdere factoren bepaald, waaronder de persoonlijkheid van de patiënt. Vooralsnog is er geen wetenschappelijke onderbouwing voor een bepaald risicoprofiel. Om het succes van DBS te optimaliseren, is het nodig bij de individuele patiënt de oorzaak van de veranderingen te achterhalen en aan de hand hiervan de behandeling aan te passen. Ook is het belangrijk aandacht te hebben voor het aanpassingsproces dat patiënten na hun operatie doormaken en de veranderingen in rolpatronen binnen het systeem van de patiënt. Ten slotte is het van belang vóór de operatie de verwachte verbetering en de risico’s op bijwerkingen goed in kaart te brengen en deze samen met de patiënt af te wegen, opdat teleurstellingen na de operatie voorkomen kunnen worden. Een goede pre- en postoperatieve inventarisatie van de cognitie, stemming en het gedrag, en preoperatief ook van de persoonlijkheid, is een taak voor de klinisch neuropsycholoog en een voorwaarde voor zorg op maat.

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Literatuur

  1. Volkmann J, Daniels C, Witt K. Neuropsychiatric effects of subthalamic neurostimulationin Parkinson’s disease. Nat Rev Neurol. 2010;6:487–98.

    CAS  PubMed  Google Scholar 

  2. Duits A, Temel Y, Ackermans L, Visser-Vandewalle V. The cognitive safety of deep brainstimulation in refractory psychiatric disorders. Behav Neurol. 2013;26:195–7.

    Article  CAS  PubMed  Google Scholar 

  3. Daniels C, Krack P, Volkmann J, Pinsker MO, Krause M, Tronnier V, et al. Risk factors for executive dysfunction after subthalamic nucleus stimulation in Parkinson’s disease. Mov Disord. 2010;25:1583–9.

    Article  PubMed  Google Scholar 

  4. Smeding HM, Speelman JD, Huizenga HM, Schuurman PR, Schmand B. Predictors of cognitive and psychosocial outcome after STN DBS in Parkinson’s Disease. J Neurol Neurosurg Psychiatry. 2011;82:754–60.

    Article  PubMed  Google Scholar 

  5. Obeso I, Casabona E, Bringas ML, Alvarez L, Jahanshahi M. Semantic and phonemic verbal fluency in Parkinson’s disease: Influence of clinical and demographic variables. Behav Neurol. 2012;25:111–8.

    Article  PubMed  Google Scholar 

  6. Frank MJ. Hold your horses: a dynamic computational role for the subthalamic nucleus in decision making. Neural Netw. 2006;19:1120–36.

    Article  PubMed  Google Scholar 

  7. Witt K, Granert O, Daniels C, Volkmann J, Falk D, Eimeren T van, et al. Relation of lead trajectory and electrode position to neuropsychological outcomes of subthalamic neurostimulation in Parkinson’s disease: results from a randomized trial. Brain. 2013;136:2109–19.

    Article  PubMed  Google Scholar 

  8. Janssen MLF, Duits AA, Turaihi AM, Ackermans L, Leentjens AFG, Kranen-Mastenbroek V van, et al. Subthalamic nucleus high frequency stimulation for advanced Parkinson’s disease: motor and neuropsychological outcome after 10 years. Stereot Funct Neurosurg. 2014;92(6):381–7.

    Article  Google Scholar 

  9. Odekerken VJ, Laar T van, Staal MJ, Mosch A, Hoffmann CF, Nijssen PC, et al. Subthalamic nucleus versus globus pallidus bilateral deep brain stimulation for advanced Parkinson’s disease (NSTAPS study): a randomised controlled trial. Lancet Neurol. 2013;12:37–44.

    Article  PubMed  Google Scholar 

  10. Rothlind JC, York MK, Carlson K, Luo P, Marks WJ, Weaver FM, et al. Neuropsychological changes following deep brain stimulation surgery for Parkinson’s disease: comparisons of treatment at pallidal and subthalamic targets versus best medical therapy. J Neurol Neurosurg Psychiatry. 2015;86(6):622–9.

    Article  PubMed  Google Scholar 

  11. Witt K, Daniels C, Krack P, Volkmann J, Pinsker O, Kloss M, et al. Negative impact of borderline global cognitive scores on quality of life after subthalamic nuclues stimulation in Parkinson’s disease. J Neurol Sci. 2011;310:261–6.

    Article  PubMed  Google Scholar 

  12. Ehlen F, Schoenecker T, Kuhn A, Klostermann F. Differential effects of deep brain stimulation on verbal fluency. Brain Lang. 2014;134:23–33.

    Article  PubMed  Google Scholar 

  13. Jahanshahi M, Torkamani M, Beigi M, Wilkinson L, Page D, Madeley L. Pallidal stimulation for primary generalised dystonia: effect on cognition, mood and quality of life. J Neurol. 2014;261:164–73.

    Article  PubMed  Google Scholar 

  14. Oh Y-S, Kim HJ, Lee KL, Kim YI, Lim S-C, Shon Y-M. Cognitive improvement after long term electrical stimulation of bilateral anterior thalamic nucleus in refractory epilepsy patients. Seizure. 2012;21:183–7.

    Article  PubMed  Google Scholar 

  15. Bergfeld IO, Mantione M, Hoogendoorn MIC, Denys D. Cognitive functioning in psychiatric disorders following deep brain stimulation. Brain Stimul. 2013;6:532–7.

    Article  PubMed  Google Scholar 

  16. Ackermans L, Duits A, Linden C van der, Tijssen M, Schruers K, Temel Y, et al. Double-blind clinical trial of thalamic stimulation in six patients with Tourette Syndrome. Brain. 2011;134:832–44.

    Article  PubMed  Google Scholar 

  17. Denys D, Mantione M, Figee M, Munckhof P van den, Koerselman F, Westenberg H, et al. Deep brain stimulation of the nucleus accumbens for treatment-refractory obsessive compulsive disorder. Arch Gen Psychiatry. 2010;67:1061–8.

    Article  PubMed  Google Scholar 

  18. Castrioto A, Lhommee E, Moro E, Krack P. Mood and behavioural effects of subthalamic stimulation in Parkinson’s disease. Lancet Neurol. 2014;13:287–305.

    Article  PubMed  Google Scholar 

  19. Mallet L, Polosan M, Jaafari N, Baup N, Welter ML, Fontaine D, et al. Subthalamic nucleus stimulation in severe obsessive compulsive disorder. N Eng J Med. 2008;359:2121–34.

    Article  CAS  Google Scholar 

  20. Weintraub D, Koester J, Potenza MN, Siderowf AD, Stacy M, Voon V, et al. Impulse control disorders in Parkinson disease: a cross-sectional study of 3090 patients. Arch Neurol. 2010;67(5):589–95.

    Article  PubMed  Google Scholar 

  21. Weintraub D. Impulse control disorders in Parkinson’s disease: prevalence and possible risk factors. Parkinsonism Relat Disord. 2009;15:S110–3.

    Article  PubMed  Google Scholar 

  22. Goerlich-Dobre KS, Probst C, Winter L, Witt K, Deuschl G, Moller B, et al. Alexithymia – an independent risk factor for impulsive-compulsive disorders in Parkinson’s disease. Mov Disord. 2014;29:214–20.

    Article  PubMed  Google Scholar 

  23. Bodden ME, Dodel R, Kalbe E. Theory of Mind in Parkinson’s disease and related basal ganglia disorders: a systematic review. Mov Disord. 2010;25:13–27.

    Article  PubMed  Google Scholar 

  24. Shishido H, Gaher RM, Simons JS. I don’t know how I feel, therefore I act: alexithymia, urgency, and alcohol problems. Addict Behav. 2013;38:2014–7.

    Article  PubMed  Google Scholar 

  25. Knobel D, Aybek S, Pollo C, Vingerhoets FJ, Berney A. Rapid resolution of dopamine dysregulation syndrome (DDS) after subthalamic DBS for Parkinson disease (PD): a case report. Cogn Behav Neurol. 2008;21:187–9.

    Article  PubMed  Google Scholar 

  26. Maier F, Lewis CJ, Horstkoetter N, Eggers C, Kalbe E, Maarouf M, et al. Patients’ expectations of deep brain stimulation, and subjective perceived outcome related to clinical measures in Parkinson’s disease: a mixed-method approach. J Neurol Neurosurg Psychiatry. 2013;84:1273–81.

    Article  PubMed  Google Scholar 

  27. Temel Y, Boothman LJ, Blokland A, Magill PJ, Steinbusch HW, Visser-Vandewalle V, et al. Inhibition of 5-HT neuron activity and induction of depressive-like behavior by high-frequency stimulation of the subthalamic nucleus. Proc Nat Acad Sci. 2007;104:17087–92.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Tan SK, Hartung H, Visser-Vandewalle V, Steinbusch HW, Temel Y, Sharp T. A combined in vivo neurochemical and electrophysiological analysis of the effect of high-frequency stimulation of the subthalamic nucleus on 5-HT transmission. Exp Neurol. 2012;233:145–53.

    Article  CAS  PubMed  Google Scholar 

  29. Weintraub D, Duda JE, Carlson K, Luo P, Sagher O, et al. Suicide ideation and behaviours after STN and GPi DBS surgery for Parkinson’s disease: results from a randomised, controlled trial. J Neurol Neurosurg Psychiatry. 2013;84:1113–8.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Duits A, Ackermans L, Cath D, Visser-Vandewalle V. Unfavourable outcome of deep brain timulation in a Tourette patient with severe comorbidity. Eur Child Adolesc Psychiatry. 2012;21:529–31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Schupbach M, Gargiulo M, Welter ML, Mallet L, Behar C, Houeto JL, et al. Neurosurgery in Parkinson disease: a distressed mind in a repaired body? Neurology. 2006;66:1811–6.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Afdeling Psychiatrie en Psychologie, Maastricht UMC+, Maastricht, The Netherlands

    Annelien Duits

  2. Afdeling Psychologie, Stichting Epilepsie Instellingen Nederland (SEIN), Heemstede, The Netherlands

    Harriët Smeding

  3. Smeding neuropsychologie, Haarlem, The Netherlands

    Harriët Smeding

Authors
  1. Annelien Duits
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  2. Harriët Smeding
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Editor information

Editors and Affiliations

  1. Maastricht University Medical Cente Department of Neurosurgery, Maastricht, The Netherlands

    Y. Temel

  2. Dept. Of Psychiatry, Maastricht Univeristy Medical Centre, Maastricht, The Netherlands

    A.F.G. Leentjens

  3. Afd. Neurologie, Amsterdam Medisch Centrum, Amsterdam, The Netherlands

    R.M.A. de Bie

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© 2016 Bohn Stafleu van Loghum

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Duits, A., Smeding, H. (2016). Psychologische aspecten van DBS. In: Temel, Y., Leentjens, A., de Bie, R. (eds) Handboek diepe hersenstimulatie bij neurologische en psychiatrische aandoeningen. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-368-0959-7_8

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  • DOI: https://doi.org/10.1007/978-90-368-0959-7_8

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  • Publisher Name: Bohn Stafleu van Loghum, Houten

  • Print ISBN: 978-90-368-0958-0

  • Online ISBN: 978-90-368-0959-7

  • eBook Packages: Dutch language eBook collection

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