Deep brain stimulation (DBS) has been widely used to control motor symptoms and
improve quality of life in patients with Parkinsons disease (PD). Recently, DBS
in the subthalamic nucleus (STN) has become the preferred target for patients
with mixed motor symptoms. Despite resultant motor and quality of life
improvements, the procedure has been associated with cognitive decline, mainly
in language skills, and also with psychiatric symptoms.ObjectiveTo evaluate the influence of DBS in the STN on cognition, mood and quality of
life.MethodsWe studied 20 patients with PD submitted to DBS in the STN from May 2008 to
June 2012 with an extensive battery of cognitive tests including memory,
language, praxis, executive functions and attention assessments; the
Parkinson's Disease Quality of Life Questionnaire (PDQ-39); and the Hospital
Anxiety and Depression Scale (HAD), were applied both before and after the
surgery. Data was analyzed using SPSS version 17.0 and results compared
using the paired Student's t test.ResultsA total of 20 patients with pre and post-operative assessments were included.
A statistically significant improvement was found in total score and on
subscales of mobility, activities of daily living and emotional well-being
from the PDQ-39 (P=0.009, 0.025, 0.001 and 0.034, respectively). No
significant difference was found on the cognitive battery or mood scale.ConclusionDBS in the SNT improved quality of life in PD with no negative impact on
cognitive skills and mood.