Potential Complications and Side Effects
While DBS is helpful for some patients, there is also the potential for neuropsychiatric side effects. Reports in the literature describe the possibility of apathy, hallucinations, compulsive gambling, hypersexuality, cognitive dysfunction, and depression. However, these may be temporary and related to correct placement and calibration of the stimulator and so are potentially reversible. A 2006 study of 99 Parkinson's patients who had undergone DBS suggested a decline in executive functions relative to patients who had not undergone DBS, accompanied by problems with word generation, attention and learning. About 9% of patients had psychiatric events, which ranged in severity from a relapse in voyeurism to a suicide attempt. Most patients in this trial reported an improvement in their quality of life following DBS, and there was an improvement in their physical functioning.
Because the brain can shift slightly during surgery, there is the possibility that the electrodes can become displaced or dislodged. This may cause more profound complications such as personality changes, but electrode misplacement is relatively easy to identify using CT. There may also be complications of surgery, such as bleeding within the brain.
After surgery, swelling of the brain tissue, mild disorientation and sleepiness are normal. After 2–4 weeks, there is a follow-up to remove sutures, turn on the neurostimulator and program it.
Read more about this topic: Deep Brain Stimulation
Famous quotes containing the words potential, side and/or effects:
“Raising a daughter is an extremely political act in this culture. Mothers have been placed in a no-win situation with their daughters: if they teach their daughters simply how to get along in a world that has been shaped by men and male desires, then they betray their daughters’ potential But, if they do not, they leave their daughters adrift in a hostile world without survival strategies.”
—Elizabeth Debold (20th century)
“To love something as an artist ... means to be shaken not by its ultimate value or lack of value, but by a side of it that suddenly opens up. Where art has value it shows things that few have seen. It’s conquering, not pacifying.”
—Robert Musil (1880–1942)
“Each of us, even the lowliest and most insignificant among us, was uprooted from his innermost existence by the almost constant volcanic upheavals visited upon our European soil and, as one of countless human beings, I can’t claim any special place for myself except that, as an Austrian, a Jew, writer, humanist and pacifist, I have always been precisely in those places where the effects of the thrusts were most violent.”
—Stefan Zweig (18811942)