-
J. Neurol. Neurosurg. Psychiatr. · May 2007
Case ReportsPathological gambling after bilateral subthalamic nucleus stimulation in Parkinson disease.
- H M M Smeding, A E Goudriaan, E M J Foncke, P R Schuurman, J D Speelman, and B Schmand.
- Department of Neurology, H2-222, Academic Medical Centre, University of Amsterdam, The Netherlands. h.m.smeding@amc.uva.nl
- J. Neurol. Neurosurg. Psychiatr. 2007 May 1;78(5):517-9.
AbstractWe describe a patient with advanced Parkinson's disease who developed pathological gambling within a month after successful bilateral subthalamic nucleus (STN) stimulation. There was no history of gambling. On neuropsychological testing, slight cognitive decline was evident 1 year after surgery. Stimulation of the most dorsal contact with and without medication induced worse performances on decision making tests compared with the more ventral contact. Pathological gambling disappeared after discontinuation of pergolide and changing the stimulation parameters. Pathological gambling does not seem to be associated with decision making but appears to be related to a combination of bilateral STN stimulation and treatment with dopamine agonists.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..