Deep brain stimulation of a patient with psychogenic movement disorder

Jean Philippe Langevin, Jesse Skoch, Scott J Sherman

Research output: Contribution to journalArticle

3 Citations (Scopus)

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
StatePublished - 2016

Fingerprint

Deep Brain Stimulation
Movement Disorders
Dopamine Plasma Membrane Transport Proteins
Safety
Positron-Emission Tomography
Subthalamic Nucleus
Signs and Symptoms
Parkinson Disease
Psychiatry

Keywords

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

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Deep brain stimulation of a patient with psychogenic movement disorder. / Langevin, Jean Philippe; Skoch, Jesse; Sherman, Scott J.

In: Surgical Neurology International, Vol. 7, No. 36, 2016, p. S824-S826.

Research output: Contribution to journalArticle

Langevin, Jean Philippe ; Skoch, Jesse ; Sherman, Scott J. / Deep brain stimulation of a patient with psychogenic movement disorder. In: Surgical Neurology International. 2016 ; Vol. 7, No. 36. pp. S824-S826.
@article{9caa1ae366b54e15acb3c0ab6bdf58c5,
title = "Deep brain stimulation of a patient with psychogenic movement disorder",
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.",
keywords = "Deep brain stimulation, functional imaging, Parkinson′s disease, psychogenic movement disorder",
author = "Langevin, {Jean Philippe} and Jesse Skoch and Sherman, {Scott J}",
year = "2016",
doi = "10.4103/2152-7806.194063",
language = "English (US)",
volume = "7",
pages = "S824--S826",
journal = "Surgical Neurology International",
issn = "2152-7806",
publisher = "Medknow Publications and Media Pvt. Ltd",
number = "36",

}

TY - JOUR

T1 - Deep brain stimulation of a patient with psychogenic movement disorder

AU - Langevin, Jean Philippe

AU - Skoch, Jesse

AU - Sherman, Scott J

PY - 2016

Y1 - 2016

N2 - 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.

AB - 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.

KW - Deep brain stimulation

KW - functional imaging

KW - Parkinson′s disease

KW - psychogenic movement disorder

UR - http://www.scopus.com/inward/record.url?scp=85009113874&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85009113874&partnerID=8YFLogxK

U2 - 10.4103/2152-7806.194063

DO - 10.4103/2152-7806.194063

M3 - Article

AN - SCOPUS:85009113874

VL - 7

SP - S824-S826

JO - Surgical Neurology International

JF - Surgical Neurology International

SN - 2152-7806

IS - 36

ER -