For more information on author guidelines, an explanation of our peer review process, and conflict of interest informed consent policies, please go to http://www.wiley.com/bw/submit.asp?ref=1094-7159&site=1
Differential Diagnosis of Psychiatric Symptoms After Deep Brain Stimulation for Movement Disorders
Article first published online: 11 FEB 2014
© 2014 International Neuromodulation Society
Neuromodulation: Technology at the Neural Interface
Volume 17, Issue 7, pages 629–636, October 2014
How to Cite
Quinn, D. K., Deligtisch, A., Rees, C., Brodsky, A., Evans, D., Khafaja, M. and Abbott, C. C. (2014), Differential Diagnosis of Psychiatric Symptoms After Deep Brain Stimulation for Movement Disorders. Neuromodulation: Technology at the Neural Interface, 17: 629–636. doi: 10.1111/ner.12153
Conflict of Interest: The authors report no conflict of interest.
- Issue published online: 21 NOV 2014
- Article first published online: 11 FEB 2014
- Manuscript Accepted: 12 DEC 2013
- Manuscript Revised: 28 NOV 2013
- Manuscript Received: 8 JUL 2013
- Deep brain stimulation;
- movement disorders
The presence of a deep brain stimulator (DBS) in a patient with a movement disorder who develops psychiatric symptoms poses unique diagnostic and therapeutic challenges for the treating clinician. Few sources discuss approaches to diagnosing and treating these symptoms.
Materials and Methods
The authors review the literature on psychiatric complications in DBS for movement disorders and propose a heuristic for categorizing symptoms according to their temporal relationship with the DBS implantation process.
Psychiatric symptoms after DBS can be categorized as preimplantation, intra-operative/perioperative, stimulation related, device malfunction, medication related, and chronic stimulation related/long term. Once determined, the specific etiology of a symptom guides the practitioner in treatment.
A structured approach to psychiatric symptoms in DBS patients allows practitioners to effectively diagnose and treat them when they arise.