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Manic episode following deep brain stimulation of the subthalamic nucleus for Parkinson's disease: a case report
Tugce Toker Ugurlu1, Goksemin Acar, Filiz Karadag
1Pamukkale University, Faculty of Medicine, Department of Psychiatry, Denizli, Turkey.
Aim:
Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is an established therapy for patients with Parkinson's disease (PD) associated with motor complications of long term L-dopa treatment.
Material And Methods:
Here we report two cases with DBS- induced manic episode, focusing on the functional and anatomic correlates of psychiatric adverse effects of STN stimulation.
Results:
We present two cases of PD with motor complications due to long term L-dopa treatment that developed their first episodes of mania with psychotic symptoms after bilateral STN-DBS implantation. DBS-induced psychiatric adverse effects may be attributable either to limbic connections and STN-specific oscillations or stimulation of the medial forebrain bundle.
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