Deep brain stimulation of the subthalamic nucleus for the treatment of Parkinson's disease
Open accessAbstract
High-frequency deep brain stimulation (DBS) of the subthalamic nucleus (STN-HFS) is the preferred surgical treatment for advanced Parkinson's disease. In the 15 years since its introduction into clinical practice, many studies have reported on its benefits, drawbacks, and insufficiencies. Despite limited evidence-based data, STN-HFS has been shown to be surgically safe, and improvements in dopaminergic drug-sensitive symptoms and reductions in subsequent drug dose and dyskinesias are well documented. However, the procedure is associated with adverse effects, mainly neurocognitive, and with side-effects created by spread of stimulation to surrounding structures, depending on the precise location of electrodes. Quality of life improves substantially, inducing sudden global changes in patients' lives, often requiring societal readaptation. STN-HFS is a powerful method that is currently unchallenged in the management of Parkinson's disease, but its long-term effects must be thoroughly assessed. Further improvements, through basic research and methodological innovations, should make it applicable to earlier stages of the disease and increase its availability to patients in developing countries.
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Deep brain stimulation is an alternative management approach for L-DOPA-induced dyskinesias but is a serious surgical intervention with associated risks.
“An alternate approach for the management of L-DOPA-induced dyskinesias in Parkinson's disease involves deep brain stimulation; however, this is a serious surgical intervention with associated risks (Benabid et al., 2009).”
From Nicotinic receptor-mediated reduction in l-DOPA-induced dyskinesias may occur via desensitization (2010) · cites this paper as Benabid et al., 2009
Deep brain stimulation of the subthalamic nucleus reduces dyskinesias.
“Further support for a contribution of other brain areas in L-DOPA-induced AIMs is based on evidence demonstrating beneficial effects of deep brain stimulation of the subthalamic nucleus in reducing dyskinesias (Benabid et al., 2009).”
From Nicotinic receptor-mediated reduction in l-DOPA-induced dyskinesias may occur via desensitization (2010) · cites this paper as Benabid et al., 2009
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- Authors
- Benabid, A. L., Chabardes, S., Mitrofanis, J., & Pollak, P.
- Affiliations
- Hôpital Albert Michallon (FR)
- The University of Sydney (AU)
- Corresponding author
- Benabid, Alim Louis
- ORCID
- Mitrofanis, John
- Venue
- The Lancet Neurology
- Publisher
- Elsevier BV
- Published
- 2009-01
- Volume
- 8
- Issue
- 1
- Pages
- 67-81
- ISSN
- 1474-4422 (ISSN-L)
- OpenAlex
- W2152069319
- Cited by
- 1,285
- References
- 178
- Citations by year
- 2026: 35 · 2025: 64 · 2024: 55 · 2023: 41 · 2022: 66 · 2021: 72 · 2020: 93 · 2019: 93 · 2018: 94 · 2017: 93 · 2016: 82 · 2015: 68 · 2014: 72 · 2013: 69 · 2012: 77
- FWCI
- 9.90
- Type
- journal article
- Language
- en
- Open access
- Locations
- The Lancet Neurology (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion)
- Funders
- Medtronic
- Institut National de la Santé et de la Recherche Médicale
- Topics
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Keywords
- deep brain stimulation, subthalamic nucleus, Parkinson's disease, high-frequency stimulation, surgical safety, dyskinesia, quality of life, long-term outcomes, early-stage Parkinson's disease
- MeSH terms
- Contraindications, Electrodes, Humans, Muscle Rigidity, Parkinson Disease, Prognosis, Quality of Life, Speech Disorders, Tremor, Cohort Studies, Randomized Controlled Trials as Topic, Treatment Outcome, Neurosurgical Procedures, Subthalamic Nucleus, Deep Brain Stimulation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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