Target Selection Recommendations Based on Impact of Deep Brain Stimulation Surgeries on Nonmotor Symptoms of Parkinson＇s Disease

作     者：Xiao-Hong Wang Lin Zhang Laura Sperry John Olichney Sarah Tomaszewski Farias Kiarash Shahlaie Norika Malhado Chang Ying Liu Su-Ping Wang Cui Wang Wang Xiao-Hong;Zhang Lin;Sperry Laura;Olichney John;Farias Sarah Tomaszewski;Shahlaie Kiarash;Chang Norika Malhado;Liu Ying;Wang Su-Ping;Wang Cui

作者机构：Department of Neurology Dalian Municipal Central Hospital Dalian Liaoning 116033 China Department of Neurology University of California Davis Sacramento CA USA Center for Neuroscience University of California Davis Davis CA USA Department of Neurological Surgery University of California Davis Sacramento CA USA Department of Neurology University Of Colorado Denver School of Medicine Denver CO USA 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2015年第128卷第24期

页      面：3371-3380页

核心收录：

学科分类：0710[理学-生物学] 090603[农学-临床兽医学] 1002[医学-临床医学] 07[理学] 09[农学] 0906[农学-兽医学] 071006[理学-神经生物学] 

主　　题：Deep Brain Stimulation Globus Pallidus lnternus Nonmotor Symptoms Parkinson's Disease Subthalamic Nucleus 

摘      要：Objective： This review examines the evidence that deep brain stimulation （DBS） has extensive impact on nonmotor symptoms （NMSs） of patients with Parkinson＇s disease （PD）. Data Sources： We retrieved information from the PubMed database up to September, 2015, using various search terms and their combinations including PD, NMSs, DBS, globus pallidus internus （GPi）, subthalamic nucleus （STN）, and ventral intermediate thalamic nucleus. Study Selection： We included data from peer-reviewed journals on impacts of DBS on neuropsychological profiles, sensory function, autonomic symptoms, weight changes, and sleep disturbances. For psychological symptoms and cognitive impairment, we tried to use more reliable proofs： Random, control, multicenter, large sample sizes, and long period follow-up clinical studies. We categorized the NMSs into four groups： those that would improve definitively following DBS; those that are not significantly affected by DBS; those that remain controversial on their surgical benefit; and those that can be worsened by DBS. Results： In general, it seems to be an overall beneficial effect of DBS on NMSs, such as sensory, sleep, gastrointestinal, sweating, cardiovascular, odor, urological symptoms, and sexual dysfunction, GPi-DBS may produce similar results; Both STN and Gpi-DBS are safe with regard to cognition and psychology over long-term follow-up, though verbal fluency decline is related to DBS： The impact of DBS on behavioral addictions and dysphagia is still uncertain. Conclusions： As the motor effects of STN-DBS and GPi-DBS are similar, NMSs may determine the target choice in surgery of future patients.