Suicide after successful deep brain stimulation for movement disorders

被引:137
作者
Burkhard, PR [1 ]
Vingerhoets, FJG [1 ]
Berney, A [1 ]
Bogousslavsky, J [1 ]
Villemure, JG [1 ]
Ghika, J [1 ]
机构
[1] CHU Vaudois, Dept Neurol, Vaud Geneva Deep Brain Stimulat Program Movement, CH-1011 Lausanne, Switzerland
关键词
D O I
10.1212/01.WNL.0000145603.48221.B5
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors observed a high rate of suicide (6/140 patients, 4.3%) in a large cohort of patients with movement disorders treated with deep brain stimulation (DBS). Apparent risk factors included a previous history of severe depression and multiple successive DBS surgeries, whereas there was no relationship with the underlying condition, DBS target, electrical parameters, or modifications of treatment. Paradoxically, all patients experienced an excellent motor outcome following the procedure. The authors propose that patients at high risk for suicide should be excluded from DBS surgery.
引用
收藏
页码:2170 / 2172
页数:3
相关论文
共 10 条
[1]   Transient acute depression induced by high-frequency deep-brain stimulation [J].
Bejjani, BP ;
Damier, P ;
Arnulf, I ;
Thivard, L ;
Bonnet, AM ;
Dormont, D ;
Cornu, P ;
Pidoux, B ;
Samson, Y ;
Agid, Y .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 340 (19) :1476-1480
[2]   Effect on mood of subthalamic DBS for Parkinson's disease - A consecutive series of 24 patients [J].
Berney, A ;
Vingerhoets, F ;
Perrin, A ;
Phil, L ;
Guex, P ;
Villemure, JG ;
Burkhard, PR ;
Benkelfat, C ;
Ghika, J .
NEUROLOGY, 2002, 59 (09) :1427-1429
[3]   Depression leading to attempted suicide after bilateral subthalamic nucleus stimulation for Parkinson's disease [J].
Doshi, PK ;
Chhaya, N ;
Bhatt, MH .
MOVEMENT DISORDERS, 2002, 17 (05) :1084-1085
[4]   Postanoxic generalized dystonia improved by bilateral Voa thalamic deep brain stimulation [J].
Ghika, J ;
Villemure, JG ;
Miklossy, J ;
Temperli, P ;
Pralong, E ;
Christen-Zaech, S ;
Pollo, C ;
Maeder, P ;
Bogousslavsky, J ;
Vingerhoets, F .
NEUROLOGY, 2002, 58 (02) :311-313
[5]   Efficiency and safety of bilateral contemporaneous pallidal stimulation (deep brain stimulation) in levodopa-responsive patients with Parkinson's disease with severe motor fluctuations: a 2-year follow-up review [J].
Ghika, J ;
Villemure, JG ;
Fankhauser, H ;
Favre, J ;
Assal, G ;
Ghika-Schmid, F .
JOURNAL OF NEUROSURGERY, 1998, 89 (05) :713-718
[6]  
Houeto JL, 2002, J NEUROL NEUROSUR PS, V72, P701, DOI 10.1136/jnnp.72.6.701
[7]   Are patients with Parkinson's disease suicidal? [J].
Myslobodsky, M ;
Lalonde, FM ;
Hicks, L .
JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY, 2001, 14 (03) :120-124
[8]   Mood changes with deep brain stimulation of STN and GPi: results of a pilot study [J].
Okun, MS ;
Green, J ;
Saben, R ;
Gross, R ;
Foote, KD ;
Vitek, JL .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2003, 74 (11) :1584-1586
[9]   A prospective study of the early postsurgical psychiatric associations of epilepsy surgery [J].
Ring, HA ;
Moriarty, J ;
Trimble, MR .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1998, 64 (05) :601-604
[10]   Neuropsychological consequences of chronic bilateral stimulation of the subthalamic nucleus in Parkinson's disease [J].
Saint-Cyr, JA ;
Trépanier, LL ;
Kumar, R ;
Lozano, AM ;
Lang, AE .
BRAIN, 2000, 123 :2091-2108