Delirium after Deep Brain Stimulation in Parkinson’s Disease

Deep brain stimulation is a primary treatment method that improves motor and motor complications in patients with advanced Parkinson’s disease. Delirium is a common and serious complication following deep brain stimulation. However, the clinical attention toward this complication remains insufficien...

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Main Authors: Hanyi Li, Shunchang Han, Juan Feng
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2021/8885386
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author Hanyi Li
Shunchang Han
Juan Feng
author_facet Hanyi Li
Shunchang Han
Juan Feng
author_sort Hanyi Li
collection DOAJ
description Deep brain stimulation is a primary treatment method that improves motor and motor complications in patients with advanced Parkinson’s disease. Delirium is a common and serious complication following deep brain stimulation. However, the clinical attention toward this complication remains insufficient. Advanced age, cognitive decline, and the severity of the disease may all be risk factors for delirium. The presence of delirium may also affect cognitive function and disease prognosis. Neurotransmitters such as acetylcholine and dopamine may be involved in the occurrence of delirium. Furthermore, inflammation, the effects of microlesioning of local nuclei, and brain atrophy may also play roles in the onset of delirium. Nonpharmacological therapy appears to be the primary treatment for postoperative delirium in Parkinson’s disease. The current article reviews the pathogenesis, epidemiology, prognosis, and treatment of delirium following deep brain stimulation in Parkinson’s disease to help clinicians better understand this common complication and to prevent, identify, and treat it as soon as possible, as well as to provide more accurate treatment for patients.
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institution Kabale University
issn 2090-8083
2042-0080
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Parkinson's Disease
spelling doaj-art-53071996ab704b5ab9231d6cbaff335e2025-02-03T01:06:16ZengWileyParkinson's Disease2090-80832042-00802021-01-01202110.1155/2021/88853868885386Delirium after Deep Brain Stimulation in Parkinson’s DiseaseHanyi Li0Shunchang Han1Juan Feng2Department of Neurology, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Shen Yang 110004, ChinaDepartment of Neurology, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Shen Yang 110004, ChinaDepartment of Neurology, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Shen Yang 110004, ChinaDeep brain stimulation is a primary treatment method that improves motor and motor complications in patients with advanced Parkinson’s disease. Delirium is a common and serious complication following deep brain stimulation. However, the clinical attention toward this complication remains insufficient. Advanced age, cognitive decline, and the severity of the disease may all be risk factors for delirium. The presence of delirium may also affect cognitive function and disease prognosis. Neurotransmitters such as acetylcholine and dopamine may be involved in the occurrence of delirium. Furthermore, inflammation, the effects of microlesioning of local nuclei, and brain atrophy may also play roles in the onset of delirium. Nonpharmacological therapy appears to be the primary treatment for postoperative delirium in Parkinson’s disease. The current article reviews the pathogenesis, epidemiology, prognosis, and treatment of delirium following deep brain stimulation in Parkinson’s disease to help clinicians better understand this common complication and to prevent, identify, and treat it as soon as possible, as well as to provide more accurate treatment for patients.http://dx.doi.org/10.1155/2021/8885386
spellingShingle Hanyi Li
Shunchang Han
Juan Feng
Delirium after Deep Brain Stimulation in Parkinson’s Disease
Parkinson's Disease
title Delirium after Deep Brain Stimulation in Parkinson’s Disease
title_full Delirium after Deep Brain Stimulation in Parkinson’s Disease
title_fullStr Delirium after Deep Brain Stimulation in Parkinson’s Disease
title_full_unstemmed Delirium after Deep Brain Stimulation in Parkinson’s Disease
title_short Delirium after Deep Brain Stimulation in Parkinson’s Disease
title_sort delirium after deep brain stimulation in parkinson s disease
url http://dx.doi.org/10.1155/2021/8885386
work_keys_str_mv AT hanyili deliriumafterdeepbrainstimulationinparkinsonsdisease
AT shunchanghan deliriumafterdeepbrainstimulationinparkinsonsdisease
AT juanfeng deliriumafterdeepbrainstimulationinparkinsonsdisease