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Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
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Related Experiment Video

Updated: May 17, 2026

Controlling Parkinson's Disease With Adaptive Deep Brain Stimulation
11:12

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Published on: July 16, 2014

Deep brain stimulation - effects on swallowing function in Parkinson's disease.

L Kulneff1, S Sundstedt, K Olofsson

  • 1Division of Speech and Language Pathology, Department of Clinical Sciences, Umeå University, Sweden.

Acta Neurologica Scandinavica
|November 3, 2012
PubMed
Summary

Deep brain stimulation of the subthalamic nucleus (STN DBS) did not significantly alter swallowing function in Parkinson's disease (PD) patients, though self-assessments indicated subjective improvement. The risk of aspiration was not increased by STN DBS.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Swallowing Disorders

Background:

  • Parkinson's disease (PD) affects motor control, including swallowing.
  • Subthalamic nucleus deep brain stimulation (STN DBS) is effective for motor symptoms in PD.
  • The impact of STN DBS on swallowing function remains understudied.

Purpose of the Study:

  • To assess the effect of STN DBS on pharyngeal swallowing function in PD patients.
  • To compare subjective self-estimation with objective fiberoptic endoscopic evaluation of swallowing.

Main Methods:

  • Eleven PD patients underwent evaluation preoperatively and 6, 12 months post-STN DBS.
  • Swallowing was assessed using visual analogue scales (self-estimation) and fiberoptic endoscopy.
  • Endoscopic evaluation included Penetration-Aspiration Scale, Secretion Severity Scale, and pharyngeal residue/clearance assessments.

Main Results:

  • Patient self-assessments showed subjective improvement in swallowing post-STN DBS.
  • Objective swallowing protocol data revealed no significant effect of STN DBS on pharyngeal function.
  • The prevalence of aspiration events did not change significantly after surgery.

Conclusions:

  • STN DBS does not negatively impact swallowing function in PD patients.
  • The risk of aspiration is not increased following STN DBS.
  • Subjective improvements in swallowing are reported by patients receiving STN DBS.