Attempted and completed suicides after subthalamic nucleus stimulation for Parkinson's disease

被引：89

作者：

Soulas, T. ^{[1
,2
]}

Gurruchaga, J-M ^{[2
]}

Palfi, S. ^{[2
]}

Cesaro, P. ^{[1
]}

Nguyen, J-P ^{[2
]}

Fenelon, G. ^{[1
]}

机构：

[1] CHU Henri Mondor, Dept Neurol, AP HP, F-94000 Creteil, France

[2] CHU Henri Mondor, Dept Neurosurg, AP HP, F-94000 Creteil, France

来源：

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY | 2008年 / 79卷 / 08期

关键词：

D O I：

10.1136/jnnp.2007.130583

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A higher than expected frequency of suicide has been reported among patients undergoing subthalamic nucleus deep brain stimulation (STN DBS) for advanced Parkinson's disease (PD). We conducted a retrospective survey of 200 patients with PD who underwent STN DBS. Two patients (1%) committed suicide and four (2%) attempted suicide, despite clear motor improvements. Suicidal patients did not differ from non-suicidal patients with respect to age, disease duration or preoperative depressive and cognitive status. Suicidal behaviour was associated with postoperative depression and/or altered impulse regulation. Suicidal behaviour is a potential hazard of STN DBS, calling for careful preoperative assessment and close postoperative psychiatric and behavioural follow- up.

引用

页码：952 / 954

页数：3

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