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- Title
Hot and Cold Cognitive Disturbances in Parkinson Patients Treated with DBS-STN: A Combined PET and Neuropsychological Study.
- Authors
Jørgensen, Louise M.; Henriksen, Tove; Mardosiene, Skirmante; Wyon, Ottilia; Keller, Sune H.; Jespersen, Bo; Knudsen, Gitte M.; Stenbæk, Dea S.
- Abstract
Patients with Parkinson's disease (PD) often suffer from non-motor symptoms, which may be caused by serotonergic dysfunction. Deep Brain Stimulation (DBS) in the subthalamic nucleus (STN) may also influence non-motor symptoms. The aim of this study is to investigate how the cerebral 5-HT system associates to disturbances in cognition and mood in PD patients with DBS-STN turned on and off. We used psychological tests and questionnaires to evaluate cognitive function and the effects on mood from turning DBS-STN off. We applied a novel PET neuroimaging methodology to evaluate the integrity of the cerebral serotonin system. We measured 5-HT1BR binding in 13 DBS-STN-treated PD patients, at baseline and after turning DBS off. Thirteen age-matched volunteers served as controls. The measures for cognition and mood were correlated to the 5-HT1BR availability in temporal limbic cortex. 5-HT1BR binding was proportional to working memory performance and inverse proportional to affective bias for face recognition. When DBS is turned off, patients feel less vigorous; the higher the limbic and temporal 5-HT1BR binding, the more they are affected by DBS being turned off. Our study suggests that cerebral 5-HTR binding is associated with non-motor symptoms, and that preservation of serotonergic functions may be predictive of DBS-STN effects.
- Subjects
DEEP brain stimulation; PSYCHOLOGICAL tests; CINGULATE cortex; SUBTHALAMIC nucleus; APATHY; PARKINSON'S disease
- Publication
Brain Sciences (2076-3425), 2022, Vol 12, Issue 5, p654
- ISSN
2076-3425
- Publication type
Article
- DOI
10.3390/brainsci12050654