A Long Term Effects of a New Onset Psychosis after DBS Treated with Quetiapine in a Patient with Parkinson's Disease

Psychiatry Investig. 2015 Jan;12(1):146-9. doi: 10.4306/pi.2015.12.1.146. Epub 2015 Jan 12.

Abstract

Deep Brain Stimulation represents a therapeutic option for PD patients. In this paper, we present and discuss a case of acute delirium and psychosis manifesting after DBS in a 58-years-old man affected by Parkinson's Disease. We highlight the importance of an exhaustive psychiatric evaluation in candidates for DBS and we underline the severity and non-reversibility of some adverse events associated with the implantation, suggesting the use of Quetiapine in the management of these effects. Acute psychosis may be listed as a potential severe adverse event associated with DBS, even in patients without a clear cut previous history of psychiatric disorders.

Keywords: Behavioural symptoms; Deep brain stimulation; Neuropsychiatry; Neuropsychology; Parkinson's disease; Psychopharmacology.