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Does subthalamic stimulation induce personality modifications in Parkinson's disease? A Rorschach Test explorative
Lorys Castelli1, Paola Perozzo, Marcella Caglio
1Department of Psychology, University of Turin, Turin, Italy. castelli_lorys@hotmail.com
Acta Neurologica Belgica
|June 26, 2008
Summary
Deep brain stimulation (DBS) for Parkinson's disease (PD) significantly improved motor symptoms without major personality changes. This study assessed personality using the Rorschach test after subthalamic nucleus DBS in PD patients.
Area of Science:
- Neuroscience
- Psychology
- Neurological Surgery
Background:
- Parkinson's disease (PD) is a neurodegenerative disorder affecting motor control.
- Deep brain stimulation of the subthalamic nucleus (DBS STN) is a therapeutic option for advanced PD.
- The impact of DBS STN on personality in PD patients requires further investigation.
Purpose of the Study:
- To investigate personality modifications in Parkinson's disease patients after bilateral subthalamic nucleus deep brain stimulation (DBS STN).
- To assess the relationship between DBS STN and personality structure using the Rorschach Psychodiagnostic test.
Main Methods:
- A cohort of fourteen Parkinson's disease patients underwent bilateral DBS STN.
- Personality was evaluated using the Rorschach test pre-operatively and one year post-operatively.
- Motor function, cognitive status, and dopaminergic treatment were also assessed.
Main Results:
- Patients showed significant motor symptom improvement and reduced dopaminergic medication post-surgery.
- No significant cognitive decline was observed between pre- and post-operative assessments.
- Rorschach test results indicated no major modifications in personality structure after DBS STN.
Conclusions:
- Bilateral DBS STN does not appear to cause significant personality alterations in Parkinson's disease patients.
- The findings suggest that DBS STN is a safe and effective treatment for motor symptoms without adverse effects on personality.
- Further research with larger cohorts may confirm these exploratory findings.

