Summary
Despite the overall excellent outcome of neurosurgery in patients with Parkinson’s disease, there is often a contrast between the improvement in motor disability and the difficulties of patients to reintegrate a normal life. In this study, the personal, familial and professional difficulties experienced by patients two years after bilateral high frequency stimulation of the subthalamic nucleus were carefully analyzed. To avoid such socio-familial maladjustment, we strongly suggest taking into consideration the patients’ psychological and social context before the operation and during the post-operative follow-up.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bejjani BP, Dormont D, Pidoux B, et al. (2000) Bilateral subthalamic stimulation for Parkinson’s disease by using three-dimensional stereotactic magnetic resonance imaging and electrophysiological guidance. J Neurosurg 92: 615–625
Boudrez H, De Backer G (2001) Psychological status and the role of coping style after coronary artery bypass graft surgery. Results of a prospective study. Qual Life Res 10: 37–47
Derry PA, Wiebe S (2000) Psychological adjustment to success and to failure following epilepsy surgery. Can J Neurol Sci 27[Suppl 1]: S116–S125
Funkiewiez A, Ardouin C, Caputo E, et al. (2004) Long term effects of bilateral subthalamic nucleus stimulation on cognitive function, mood, and behaviour in Parkinson’s disease. J Neurol Neurosurg Psychiatry 75: 834–839
Houeto JL, Mesnage V, Mallet L, et al. (2002) Behavioural disorders, Parkinson’s disease and subthalamic stimulation. J Neurol Neurosurg Psychiatry 72: 701–707
Lagrange E, Krack P, Moro E, et al. (2002) Bilateral subthalamic nucleus stimulation improves healthrelated quality of life in PD. Neurology 59: 1976–1978
Limousin P, Krack P, Pollak P, et al. (1998) Electrical stimulation of the subthalamic nucleus in advanced Parkinson’s disease. N Engl J Med 339: 1105–1111
Paykel ES, Weissman M, Prusoff BA, Tonks CM (1971) Dimensions of social adjustment in depressed women. J Nerv Ment Dis 152: 158–172
Peto V, Jenkinson C, Fitzpatrick R, Greenhall R (1995) The development and validation of a short measure of functioning and well being for individuals with Parkinson’s disease. Qual Life Res 4: 241–248
Sheehan DV, Lecrubier Y, Sheehan KH, et al. (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59[Suppl 20]: 22–57
Welter ML, Houeto JL, Tezenas du Montcel S, et al. (2002) Clinical predictive factors of subthalamic stimulation in Parkinson’s disease. Brain 125: 575–583
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2006 Springer-Verlag
About this paper
Cite this paper
Agid, Y. et al. (2006). Neurosurgery in Parkinson’s disease: the doctor is happy, the patient less so?. In: Riederer, P., Reichmann, H., Youdim, M.B.H., Gerlach, M. (eds) Parkinson’s Disease and Related Disorders. Journal of Neural Transmission. Supplementa, vol 70. Springer, Vienna . https://doi.org/10.1007/978-3-211-45295-0_61
Download citation
DOI: https://doi.org/10.1007/978-3-211-45295-0_61
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-28927-3
Online ISBN: 978-3-211-45295-0
eBook Packages: MedicineMedicine (R0)