Pathological gambling after bilateral subthalamic nucleus stimulation in Parkinson disease.

@article{Smeding2007PathologicalGA,
  title={Pathological gambling after bilateral subthalamic nucleus stimulation in Parkinson disease.},
  author={Harriet M. M. Smeding and Anna E. Goudriaan and Elisabeth M. J. Foncke and P. R. Schuurman and Johannes D. Speelman and Ben A. Schmand},
  journal={Journal of neurology, neurosurgery, and psychiatry},
  year={2007},
  volume={78 5},
  pages={517-9}
}
We describe a patient with advanced Parkinson's disease who developed pathological gambling within a month after successful bilateral subthalamic nucleus (STN) stimulation. There was no history of gambling. On neuropsychological testing, slight cognitive decline was evident 1 year after surgery. Stimulation of the most dorsal contact with and without medication induced worse performances on decision making tests compared with the more ventral contact. Pathological gambling disappeared after… CONTINUE READING
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