Neural Regeneration Research ›› 2013, Vol. 8 ›› Issue (30): 2856-2867.doi: 10.3969/j.issn.1673-5374.2013.30.008

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Neurosurgery in Parkinson’s disease: Social adjustment, quality of life and coping strategies

Meyer Mylène1, 2, 3, 4, Montel Sébastien1, 4, Colnat-Coulbois Sophie5, Lerond Jérôme6, Potheegadoo Jevita7, Vidailhet Pierre7, Gospodaru Nicolaie2, Vespignani Hervé1, 2, Barroche Gérard2, Spitz Elisabeth1, 4, Schwan Raymund1, 3, 8   

  1. 1 Lorraine University, Metz 57000, France
    2 Department of Neurology, University Hospital, Nancy 54000, France
    3 INSERM, Clinical Investigation Center 9501, Vandoeuvre-les-Nancy 54500, France
    4 Department of Health Psychology EPSAM, EA 4360 APEMAC, Metz 57000, France
    5 Department of Neurosurgery, University Hospital, Nancy 54000, France
    6 Psychotherapic Center of Nancy, Laxou 54520, France
    7 INSERM 666 Unit, University Hospital, Strasbourg 67000, France
    8 Care, Support and Prevention Center in Addiction, University Hospital, Nancy 54000, France
  • Received:2013-04-15 Revised:2013-04-15 Online:2013-10-25 Published:2013-10-25
  • Contact: Meyer Mylène, Neuropsychologist, CHU de Nancy-H?pital Central-Service de neurologie, 29 avenue du maréchal de Lattre de Tassigny, 54001 Nancy Cedex, France, my.meyer@chu-nancy.fr.

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Abstract:

Subthalamic nucleus deep brain stimulation has become a standard neurosurgical therapy for ad-vanced Parkinson’s disease. Subthalamic nucleus deep brain stimulation can dramatically improve the motor symptoms of carefully selected patients with this disease. Surprisingly, some specific dimensions of quality of life, “psychological” aspects and social adjustment do not always improve, and they could sometimes be even worse. Patients and their families should fully understand that subthalamic nucleus deep brain stimulation can alter the motor status and time is needed to readapt to their new postoperative state and lifestyles. This paper reviews the literatures regarding effects of bilateral subthalamic nucleus deep brain stimulation on social adjustment, quality of life and coping strategies in patients with Parkinson’s disease. The findings may help to understand the psychoso-cial maladjustment and poor improvement in quality of life in some Parkinson’s disease patients.

Key words: neural regeneration, Parkinson’s disease, subthalamic nucleus, deep brain stimulation, quality of life, coping, social adjustment, reviews, neurodegenerative diseases