Abstract
Here we touch on some of the manic episodes that Ben went through in the days that followed some of his programming sessions. It is a possible side effect of manipulating the subthalamic pathways and so we prepare other patients for this and stress that while it is normal, they and their care team around them must remain vigilant but not overexert themselves to intervene. We end by talking generally about society and self and how DBS may throw some wrinkles into the rules that govern societies.
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Notes
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In anatomy ventral means beneath, but we have to remember that in the 3D space, words like ‘beneath’ are not descriptive enough.
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Frank MJ, Samanta J, Moustafa AA, Sherman SJ. Hold your horses: impulsivity, deep brain stimulation, and medication in parkinsonism. Science. 2007;3184:1309–12.
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Anhedonia is term doctors use to indicate the lack of pleasure from activities commonly known to be enjoyable.
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Weiss D, Volkmann J, Fasano A, Kühn A, Krack P, Deuschl G. Changing gears - DBS For dopaminergic desensitization in parkinson’s disease? Ann Neurol. 2021;90:699–710.
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DAWS (dopamine agonist withdrawal syndrome) is the term used.
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Stecher, B., Fasano, A. (2024). The Day I Thought I Should Be Prime Minister of Canada. In: Reprogramming the Brain. Springer, Cham. https://doi.org/10.1007/978-3-031-50399-3_14
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DOI: https://doi.org/10.1007/978-3-031-50399-3_14
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