“…This change is regarded overall as a positive response to STN-DBS and appears to be even more evident when electrical stimulation is coupled with Levodopa [45], [47], [48]. However, some studies [33], [35], [49] have found an opposite trend, suggesting that these changes may primarily manifest during short follow-up periods (e.g., three months), then may diminish over longer observation windows. The main explanation for such behaviour could be the natural progression of the disease [18], [33], [41].…”