Non-motor symptoms in Parkinson’s disease patients during perioperative period of deep brain stimulation surgery:

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  • Sato Atsuya
    Department of Occupational Therapy, School of Rehabilitation, Tokyo Professional University of Health Sciences (Former:Department of Rehabilitation, Sanai Hospital) Graduate Course of Health and Social Services, Graduate School of Saitama Prefectural University
  • Ochiai Taku
    Ochiai Neurological Clinic
  • Kubota Tomio
    Graduate Course of Health and Social Services, Graduate School of Saitama Prefectural University
  • Ishioka Toshiyuki
    Graduate Course of Health and Social Services, Graduate School of Saitama Prefectural University

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Other Title
  • 脳深部刺激療法周術期パーキンソン病患者の非運動症状
  • 脳深部刺激療法周術期パーキンソン病患者の非運動症状 : 5症例からの検証
  • ノウ シンブ シゲキ リョウホウシュウジュツキ パーキンソンビョウ カンジャ ノ ヒウンドウ ショウジョウ : 5 ショウレイ カラ ノ ケンショウ
  • A five-cases study
  • ─5症例からの検証─

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Abstract

To examine the characteristics of non-motor symptoms in patients with Parkinson’s disease (PD) during the perioperative period of deep brain stimulation (DBS), we investigated cognitive functions and behavioral symptoms in five PD patients who underwent DBS to determine the target site via experimental stimulation of the subthalamic nucleus (STN) and the globus pallidus internus (GPi). The results showed a significant decrease in the phonemic verbal fluency task performance involving inhibition of habitual responses only during stimulation of the STN compared to before surgery, and delirium-like behavioral symptoms were observed in 4 of 5 patients after surgery. These results suggest the need for occupational therapy for perioperative PD patients with DBS that considers motor symptoms and non-motor symptoms, including behavior management in the ward.

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