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Attempted and completed suicides after subthalamic nucleus stimulation for Parkinson's disease.
Soulas, T; Gurruchaga, J-M; Palfi, S; Cesaro, P; Nguyen, J-P; Fénelon, G.
Afiliación
  • Soulas T; Department of Neurosurgery, AP-HP, CHU Henri Mondor, Créteil, France.
J Neurol Neurosurg Psychiatry ; 79(8): 952-4, 2008 Aug.
Article en En | MEDLINE | ID: mdl-18403439
A higher than expected frequency of suicide has been reported among patients undergoing subthalamic nucleus deep brain stimulation (STN DBS) for advanced Parkinson's disease (PD). We conducted a retrospective survey of 200 patients with PD who underwent STN DBS. Two patients (1%) committed suicide and four (2%) attempted suicide, despite clear motor improvements. Suicidal patients did not differ from non-suicidal patients with respect to age, disease duration or preoperative depressive and cognitive status. Suicidal behaviour was associated with postoperative depression and/or altered impulse regulation. Suicidal behaviour is a potential hazard of STN DBS, calling for careful preoperative assessment and close postoperative psychiatric and behavioural follow-up.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de Parkinson / Complicaciones Posoperatorias / Suicidio / Intento de Suicidio / Núcleo Subtalámico / Estimulación Encefálica Profunda Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Neurol Neurosurg Psychiatry Año: 2008 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de Parkinson / Complicaciones Posoperatorias / Suicidio / Intento de Suicidio / Núcleo Subtalámico / Estimulación Encefálica Profunda Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Neurol Neurosurg Psychiatry Año: 2008 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido