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J Neurol Neurosurg Psychiatry 2002;72:689 doi:10.1136/jnnp.72.6.689
  • Behavioural disorders
  • Editorial commentary

Behavioural disorders, Parkinson's disease, and subthalamic stimulation

  1. R G Brown
  1. Department of Psychology, Institute of Psychiatry, King's College London, De Crespigny Park, London SE5 8AF, UK; r.brown@iop.kcl.ac.uk

      Stimulation of the bilateral subthalamic nucleus can have adverse consequences

      The paper by Houeto et al1 in this issue (pp 701–707) offers new evidence to suggest that bilateral subthalamic nucleus (STN) stimulation can have adverse and potentially serious consequences for patients and their families, despite the benefits obtained in motor function. The study has important implications for those running surgical programmes in terms of patient selection, preoperative counselling, and postoperative care.

      The management of the motor symptoms of Parkinson's disease has been greatly enhanced in recent years by new approaches to functional neurosurgery, both stereotactic lesions to the globus pallidus or subthalamic …

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