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SPECIAL SECTION ON NEUROPSYCHOLOGICAL TECHNOLOGIES Guest Editor: Douglas L. Chute

Deep Brain Stimulation and the Role of the Neuropsychologist

Michael S. Okun Department of Neurology, Gainesville, FL, USA; Department of Neurosurgery, Gainesville, FL, USA; Department of Psychiatry, Gainesville, FL, USACorrespondence[email protected]

Ramon L. Rodriguez Department of Neurology, Gainesville, FL, USA

Ania Mikos Department of Clinical and Health Psychology, University of Florida, McKnight Brain Institute, Movement Disorders Center, Gainesville, FL, USA

Kimberly Miller Department of Clinical and Health Psychology, University of Florida, McKnight Brain Institute, Movement Disorders Center, Gainesville, FL, USA

Ida Kellison Department of Clinical and Health Psychology, University of Florida, McKnight Brain Institute, Movement Disorders Center, Gainesville, FL, USA

Lindsey Kirsch-Darrow Department of Clinical and Health Psychology, University of Florida, McKnight Brain Institute, Movement Disorders Center, Gainesville, FL, USA

Dylan P. Wint Department of Psychiatry, Gainesville, FL, USA

Utaka Springer Department of Clinical and Health Psychology, University of Florida, McKnight Brain Institute, Movement Disorders Center, Gainesville, FL, USA

Hubert H. Fernandez Department of Clinical and Health Psychology, University of Florida, McKnight Brain Institute, Movement Disorders Center, Gainesville, FL, USA

Kelly D. Foote Department of Neurosurgery, Gainesville, FL, USA

Gregory Crucian Department of Neurology, Gainesville, FL, USA

Dawn Bowers Department of Clinical and Health Psychology, University of Florida, McKnight Brain Institute, Movement Disorders Center, Gainesville, FL, USA

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Abstract

Deep brain stimulation (DBS) now plays an important role in the treatment of Parkinson's disease, tremor, and dystonia. DBS may also have a role in the treatment of other disorders such as obsessive-compulsive disorder, Tourette's syndrome, and depression. The neuropsychologist plays a crucial role in patient selection, follow-up, and management of intra-operative and post-operative effects (Pillon, Citation2002; Saint-Cyr & Trepanier, Citation2000). There is now emerging evidence that DBS can induce mood, cognitive, and behavioral changes. These changes can have dramatic effects on patient outcome. There have been methodological problems with many of the studies of DBS on mood, cognition, and behavior. The neuropsychologist needs to be aware of these issues when following up patients, and constructing future studies. Additionally, this article will review all aspects of the DBS procedure that can result in mood, cognitive, and behavioral effects and what role(s) the neuropsychologist should play in screening and follow-up.

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Deep Brain Stimulation and the Role of the Neuropsychologist

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