Does subthalamic nucleus (STN) deep brain stimulation (DBS) increase or decrease impulse control disorders in patients with Parkinson disease (PD)?

Updated: Jan 24, 2019
  • Author: Robert A Hauser, MD, MBA; Chief Editor: Selim R Benbadis, MD  more...
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Answer

STN DBS may result in either a favorable or an unfavorable outcome in patients with Parkinson disease and impulse control and related disorders. [89] Although there may be resolution or improvement of impulse control disorders following STN DBS, the procedure may also induce, exacerbate, reveal, or have no effect on these conditions. [89]

In 2017, the FDA approved the Vercise DBS system to treat symptoms of Parkinson disease. The device is a rechargeable implantable pulse generator with a potential battery life of 15 years. It has been available in Europe since 2012. [90]

(See Deep Brain Stimulation forParkinson Disease for a more extensive discussion of deep brain stimulation in this setting, including mechanisms of action, advantages and disadvantages, and stages of the procedure.)


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