title: A manic episode after bilateral subthalamic stimulation in a patient with advanced Parkinson's disease.
abstract: Deep brain stimulation (DBS) has proven to be an effective treatment for patients with refractory symptoms in the advanced stages of Parkinson's disease. However, different psychiatric and cognitive problems may occur after DBS. We report a case of a manic episode after DBS of the subthalamic nucleus in a patient with advanced Parkinson's disease. After slow and gradually restart of the neurostimulation using the lowest effective intensity, the motor symptoms remained sufficiently under control without causing any psychiatric problems.
authors.affiliation: 1 Department of Psychiatry, Ghent University Hospital, Ghent, Belgium.
authors.forename: Isabel
authors.initials: I
authors.lastname: Claeys
authors.affiliation: 2 Department of Neurology, Ghent University Hospital, Ghent, Belgium.
authors.forename: Patrick
authors.initials: P
authors.lastname: Santens
authors.affiliation: 1 Department of Psychiatry, Ghent University Hospital, Ghent, Belgium.
authors.forename: Dirk
authors.initials: D
authors.lastname: Van den Abbeele
authors.affiliation: 3 Department of Neurosurgery, Ghent University Hospital, Ghent, Belgium.
authors.forename: Dirk
authors.initials: D
authors.lastname: Van Roost
authors.affiliation: 1 Department of Psychiatry, Ghent University Hospital, Ghent, Belgium.
authors.forename: Gilbert Md
authors.initials: GM
authors.lastname: Lemmens