Pretreatment brain volumes can affect the effectiveness of deep brain stimulation in Parkinson's disease patients.

Abstract:

:We aimed to assess whether brain volumes may affect the results of deep brain stimulation (DBS) in patients with Parkinson's disease (PD). Eighty-one consecutive patients with PD (male:female 40:41), treated with DBS between June 2012 and December 2017, were enrolled. Total and regional brain volumes were measured using automated brain volumetry (NeuroQuant). The Unified Parkinson Disease Rating Scale motor score quotient was used to assess changes in clinical outcome and compare the preoperative regional brain volume in patients categorized into the higher motor improvement and lower motor improvement groups based on changes in the postoperative scores. The study groups showed significant volume differences in multiple brain areas. In the higher motor improvement group, the anterior cingulate and right thalamus showed high volumes after false discovery rate (FDR) correction. In the lower motor improvement group, the left caudate, paracentral, right primary sensory and left primary motor cortex showed high volume, but no area showed high volumes after FDR correction. Our data suggest that the effectiveness of DBS in patients with PD may be affected by decreased brain volume in different areas, including the cingulate gyrus and thalamus. Preoperative volumetry could help predict outcomes in patients with PD undergoing DBS.

journal_name

Sci Rep

journal_title

Scientific reports

authors

Yim Y,Kim SJ,Jung SC,Kim HS,Choi CG,Lee JK,Lee CS,Lee SH,Shim WH,Cheong EN,Park SC

doi

10.1038/s41598-020-79138-9

subject

Has Abstract

pub_date

2020-12-16 00:00:00

pages

22065

issue

1

issn

2045-2322

pii

10.1038/s41598-020-79138-9

journal_volume

10

pub_type

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