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The Clinical Neuropsychologist Volume 21, 2007 - Issue 1
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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
 show all
Pages 162-189 | Accepted 18 Sep 2006, Published online: 16 Feb 2007
 
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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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