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Original Article
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Volume 340:1476-1480 May 13, 1999 Number 19
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Transient Acute Depression Induced by High-Frequency Deep-Brain Stimulation
Boulos-Paul Bejjani, M.D., Philippe Damier, M.D., Ph.D., Isabelle Arnulf, M.D., Lionel Thivard, M.D., Anne-Marie Bonnet, M.D., Didier Dormont, M.D., Philippe Cornu, M.D., Bernard Pidoux, M.D., Ph.D., Yves Samson, M.D., and Yves Agid, M.D., Ph.D.

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 by Yudofsky, S. C.
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Continuous high-frequency stimulation of the basal ganglia was recently introduced for the treatment of patients with advanced Parkinson's disease.1 This treatment seems to be most effective when the electrodes are placed in the subthalamic nuclei.2,3 Among the 20 patients treated successfully by bilateral subthalamic stimulation at our center, 1 woman had transient acute depression when high-frequency stimulation was delivered to the left substantia nigra, 2 mm below the site where stimulation alleviated the signs of Parkinson's disease. We describe here the results of detailed studies of the induction of major, reversible depression in this woman.

Case Report

A 65-year-old right-handed woman with . . . [Full Text of this Article]

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From the Centre d'Investigation Clinique, Fédération de Neurologie and INSERM Unité 289 (B.-P.B., P.D., I.A., A.-M.B., Y.A.), Service de Neuroradiologie (D.D.), Service de Neurochirurgie (P.C.), and Service d'Explorations Fonctionnelles Neurologiques (B.P.), Groupe Hospitalier Pitié–Salpêtrière, Paris; and the Service Hospitalier Frederic Joliot, Commissariat à l'Energie Atomique, Orsay, France (L.T., Y.S.).

Address reprint requests to Dr. Bejjani at the Centre d'Investigation Clinique, Hôpital Pitié–Salpêtrière, 47 Blvd. de l'Hôpital, 75651 Paris CEDEX 13, France, or at cic.salpetriere@psl.ap-hop-paris.fr.

References


Related Letters:

Transient Acute Depression Induced by High-Frequency Deep-Brain Stimulation
Bezerra M. L.S., Martínez J.-V. L., Nasser J. A., Kumar R., Krack P., Pollak P., Landau W. M., Perlmutter J. S., Bejjani B.-P., Damier P., Agid Y.
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N Engl J Med 1999; 341:1003-1004, Sep 23, 1999. Correspondence

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