Does subthalamic stimulation induce personality modifications in Parkinson's disease? A Rorschach Test explorative study

Acta Neurol Belg. 2008 Mar;108(1):5-8.

Abstract

The aim of this study was to investigate personality, by means of the Rorschach Psychodiagnostic test, in a consecutive series of fourteen patients with Parkinson's disease (PD) submitted to bilateral deep brain stimulation of the subthalamic nucleus (DBS STN). Patients were evaluated pre-operatively and 1 year after surgery. Patients were also assessed for motor disability and cognitive status. All the patients obtained a significant amelioration of motor symptoms and could reduce the dopaminergic treatment after surgery. No cognitive decline was observed comparing the pre- to the post-operative neuropsychological assessment. The comparison between pre- and post-operative Rorschach indexes showed no major modifications of personality structure. The results of the present explorative study suggest that DBS of STN does not result in relevant personality modifications in patients with Parkinson's disease.

MeSH terms

  • Aged
  • Cognition Disorders / diagnosis*
  • Cognition Disorders / etiology
  • Deep Brain Stimulation / adverse effects*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mood Disorders / diagnosis
  • Mood Disorders / etiology
  • Parkinson Disease / physiopathology
  • Parkinson Disease / therapy*
  • Personality Disorders / diagnosis*
  • Personality Disorders / etiology
  • Postoperative Complications / diagnosis
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control
  • Predictive Value of Tests
  • Rorschach Test*
  • Subthalamic Nucleus / physiopathology*
  • Treatment Outcome