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首页> 外文期刊>The journal of clinical psychiatry >Psychiatric complications of deep brain stimulation for Parkinson's disease.
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Psychiatric complications of deep brain stimulation for Parkinson's disease.

机译：深部脑刺激治疗帕金森氏病的精神科并发症。

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BACKGROUND: The purpose of this article is to review the current literature regarding deep brain stimulation (DBS) of the subthalamic nucleus as a treatment for Parkinson's disease and to bring to the attention of the psychiatric community the possible psychiatric complications of this treatment. METHOD: A MEDLINE search of English-language publications was conducted using PubMed in July 2003. The search term used was deep brain stimulation. In addition, pertinent references were obtained from the retrieved articles. Reports and studies of psychiatric complications of DBS patients were reviewed and are discussed. A case report is presented of a man who developed hypomanic symptoms shortly after beginning DBS treatment for Parkinson's disease. RESULTS: There have been an increasing number of reports of postprocedure psychiatric complications, including depression, mania, aggression, and deficits in language. Improvement in symptoms of severe obsessive-compulsive disorder and depression has also been reported. CONCLUSION: As information continues to emerge, psychiatrists will play vital roles in the assessment and continuing care of patients who receive DBS. These findings may also provide the framework to determine which patients are at psychiatric risk from DBS. Symptoms of refractory obsessive-compulsive disorder have been noted to improve with DBS, which has led researchers to begin studying its effectiveness for this condition.
机译：背景：本文的目的是回顾有关丘脑下丘脑深部脑刺激（DBS）作为帕金森氏病治疗方法的最新文献，并提请精神病学界注意这种治疗方法可能引起的精神病并发症。方法：2003年7月，使用PubMed对MEDLINE进行了英语出版物的搜索。搜索词为深部脑刺激。另外，从检索到的文章中获得了相关的参考文献。回顾和讨论了DBS患者精神并发症的报告和研究。提交了一个病例报告，该患者在开始针对帕金森氏病的DBS治疗后不久出现轻躁狂症状。结果：越来越多的关于术后精神病并发症的报道，包括抑郁症，躁狂症，攻击性和语言障碍。严重强迫症和抑郁症状的改善也已有报道。结论：随着信息的不断涌现，精神科医生将在接受DBS的患者评估和持续护理中发挥至关重要的作用。这些发现还可以提供确定哪些患者患有DBS的精神病风险的框架。 DBS可以改善难治性强迫症的症状，这促使研究人员开始研究其在这种情况下的有效性。

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