Deep brain stimulation of a patient with psychogenic movement disorder

Jean Philippe Langevin, Jesse Skoch, Scott J Sherman

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Background: The long-term safety of deep brain stimulation (DBS) is an important issue because new applications are being investigated for a variety of disorders. Studying instances where DBS was inadvertently implanted in patients without a movement disorder may provide information about the safety of the therapy. We report the case of a patient with a psychogenic movement disorder treated with deep brain stimulation (DBS). Case Description: The patient presented at our clinic after 5 years of chronic DBS of the subthalamic nucleus (STN) for presumed Parkinson′s disease. A dopamine transporter (DAT) scan (DaTscan) showed normal DAT distribution in the striatum. A positron emission tomography (PET) scan showed no abnormal metabolic patterns. Further psychiatric and neurological evaluations revealed that the patient was suffering from a psychogenic movement disorder. The patient displayed no sign or symptom from the stimulation, and DBS did not lead to any benefits or side effects for this patient. Conclusion: We argue that the absence of side effects, the normal DaTscan, and PET scan after 5 years of chronic stimulation illustrate the safety of DBS on neural tissue.

Original languageEnglish (US)
Pages (from-to)S824-S826
JournalSurgical Neurology International
Volume7
Issue number36
DOIs
Publication statusPublished - 2016

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Keywords

  • Deep brain stimulation
  • functional imaging
  • Parkinson′s disease
  • psychogenic movement disorder

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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