Programming for Stimulation-Induced Transient Nonmotor Psychiatric Symptoms after Bilateral Subthalamic Nucleus Deep Brain Stimulation for Parkinson’s Disease
Table 3
The stimulation parameters and STPS.
Number of PD Patients
Status
STPS times
Chief complaints and symptoms of STPS
Stimulation pattern
CV/CC
Intensity (V/mA)
Pulse width (μs)
Frequency (Hz)
Left/right
Cathode
Anode
IPG
Electrode
Active contact location
UPDRS-III score (med off/IPG-on)
(1)
Pre-STPS
IPG-off
Activa RC
3389
Medial STN
STPS
1
Inexplicable euphoria
Monopolar
CV
2.5
60
160
Left
1
Case
None
STPS
2
Inexplicable euphoria
Monopolar
CV
2.2
60
160
Left
1
Case
14
Final
Monopolar
CV
1.9
70
160
Left
1
Case
14
(2)
Pre-STPS
Monopolar
CV
2.3
80
140
Left
1
Case
Activa RC
3389
Medial part of STN
Monopolar
CV
2.5
90
140
Right
9
Case
STPS
1
Wail
Monopolar
CV
2.5
90
140
Left
1
Case
13
Final
Bipolar
CV
2.6
90
140
Left
1
2
13
(3)
Pre-STPS
Monopolar
CV
2.5
60
150
Right
9
Case
Activa RC
3389
Medial Inferior part of STN
Monopolar
2.3
60
150
Left
2
Case
STPS
1
Hallucination
Monopolar
CV
2.9
70
150
Right
9
Case
25
STPS
2
Hallucination
Monopolar
2.6
90
130
Right
9
Case
23
Final
Interleaving
CV
2.5
90
125
Right
2
Case
23
1.8
70
125
3
(4)
Pre-STPS
Monopolar
CV
2.3
100
90
Left
1
Case
Activa RC
3389
Inferior part of STN/substantia nigra
Monopolar
CV
2.5
110
90
Right
10
Case
STPS
1
Hypomania
Double polar
CV
2.4
100
90
Left
0,1
Case
25
STPS
2
Hypomania
Double polar
CV
2.2
110
85
Left
0,1
Case
25
Final
Interleaving
CV
2.0
100
90
Left
0
Case
25
2.3
100
90
1
(5)
Pre-STPS
IPG off
Activa PC
3389
Lateral part of STN/Close to Zona incerta
STPS
1
Wail
Monopolar
CC
1.9
60
140
Right
10
Case
None
STPS
2
Wail
Monopolar
CC
1.7
60
130
Right
10
Case
13
STPS
3
Wail
Bipolar
CC
1.8
60
130
Right
10
11
13
Final
Monopolar
CC
1.9
60
130
Right
11
Case
13
(6)
Pre-STPS
Double-polar
CV
2.5
60
160
Left
0,1
Case
Activa RC
3389
Inferior part of STN/Close to substantia nigra
Monopolar
CV
2.7
70
160
Right
9
Case
STPS
1
Hypomania
Double polar
CV
2.8
60
160
Left
0,1
Case
40
STPS
2
Hypomania
Interleaving
CV
2.5
80
125
Left
0
Case
39
2.8
80
125
1
Case
Final
Interleaving
CV
2.5
70
125
Left
0
Case
41
2.7
80
125
1,2
Case
(7)
Pre-STPS
Monopolar
CC
2.1
60
145
Left
3
Case
Activa RC
3389
Lateral part of STN/Close to Internal capsule
Monopolar
CC
2.0
70
145
Right
10
Case
STPS
1
Inexplicable euphoria
Monopolar
CC
2.1
60
145
Left
3
Case
40
STPS
2
Inexplicable euphoria
Monopolar
CC
1.9
70
145
Left
3
Case
38
Final
Bipolar
CV
2.3
70
145
Left
3
2
38
(8)
Pre-STPS
Monopolar
CV
2.6
60
150
Left
1
Case
Activa RC
3389
Medial part of STN
Monopolar
CV
2.5
60
150
Right
10
Case
STPS
1
Hypomania
Monopolar
CV
3.1
60
150
Left
1
Case
40
STPS
2
Hypomania
Monopolar
CV
2.8
70
145
Left
1
Case
40
Final
Monopolar
CV
3
60
140
Left
2
case
40
(9)
Pre-STPS
Monopolar
CV
2.7
90
160
Right
9
Case
Activa RC
3389
Lateral part of STN
Double-polar
CV
2.5
80
160
Left
2,3
Case
STPS
1
Hypomania
Monopolar
CV
3.2
90
160
Right
9
Case
25
Final
Monopolar
CV
2.9
110
130
Right
9
Case
24
(10)
Pre-STPS
Monopolar
CC
2.0
60
160
Right
9
Case
Activa PC
3389
Medial part of STN
Monopolar
CC
2.2
60
160
Left
2
Case
STPS
1
Abnormal spatial orientation
Monopolar
CC
2.2
60
160
Right
9
Case
26
STPS
2
Abnormal spatial orientation
Monopolar
CC
2.0
70
140
Right
9
Case
25
Final
Interleaving
CV
2.8
60
125
Right
9
Case
25
2.1
60
125
10
Case
(11)
Pre-STPS
Monopolar
CV
2.8
70
135
Left
2
Case
Activa RC
3389
Lateral part of STN
Monopolar
CV
2.5
60
135
Right
10
Case
STPS
1
Hypomania
Monopolar
CV
3.0
70
135
Left
2
Case
34
Final
Monopolar
CV
2.7
80
135
Left
2
Case
34
CV, constant voltage; CC, constant current. The patients with no UPDRS-III score (med-off/IPG-on) because they were in the first programming and have not been evaluated with UPDRS- III score yet.