2013
DOI: 10.3389/fnsys.2013.00118
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Effects of deep brain stimulation of the subthalamic nucleus on inhibitory and executive control over prepotent responses in Parkinson's disease

Abstract: Inhibition of inappropriate, habitual or prepotent responses is an essential component of executive control and a cornerstone of self-control. Via the hyperdirect pathway, the subthalamic nucleus (STN) receives inputs from frontal areas involved in inhibition and executive control. Evidence is reviewed from our own work and the literature suggesting that in Parkinson's disease (PD), deep brain stimulation (DBS) of the STN has an impact on executive control during attention-demanding tasks or in situations of c… Show more

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Cited by 79 publications
(76 citation statements)
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References 148 publications
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“…For what concerns food reward, no differences in pleasantness ratings of appetizing food have been observed between PD and matched controls (Macht, Brandstetter, & Ellgring, 2007;Sienkiewicz-Jarosz et al, 2005, 2013. In contrast, motivational responses to food can be altered in PD patients.…”
Section: Motivation and Rewardmentioning
confidence: 66%
See 1 more Smart Citation
“…For what concerns food reward, no differences in pleasantness ratings of appetizing food have been observed between PD and matched controls (Macht, Brandstetter, & Ellgring, 2007;Sienkiewicz-Jarosz et al, 2005, 2013. In contrast, motivational responses to food can be altered in PD patients.…”
Section: Motivation and Rewardmentioning
confidence: 66%
“…Moreover, the association between depression and a reduced BMI has been observed in men but not in women (Pilhatsch et al, 2013). Even if both changes in cognitive functions and emotional processes may be side effects of DBS (Castrioto, Lhommée, Moro, & Krack, 2014;Jahanshahi, 2013;Troster, 2009), no association so far has been observed between MMSE (Serranová et al, 2011) or BDI (Locke et al, 2011;Macia et al, 2004;Serranová et al, 2011) and weight gain after surgery. In conclusion, studies on the relation between cognitive deficits, depression, and weight are sparse and often exclude patients with severe cognitive or emotional disturbances.…”
Section: Cognition and Moodmentioning
confidence: 87%
“…An increasing body of evidence based on STN DBS on vs. off methodology also suggests that STN DBS in PD patients is associated with a deficit in inhibitory control over proponent responses (Jahanshahi, 2013;Jahanshahi, Obeso, Rothwell, & Obeso, 2015). The STN receives direct cortical information through the "hyperdirect pathway" (Monakow, Akert, & Kunzle, 1978;Nambu, Tokuno, & Takada, 2002), which is then relayed to the basal ganglia output structures.…”
Section: Discussionmentioning
confidence: 99%
“…For instance, Chiken and Nambu (2014) reviewed studies arguing that deep brain stimulation work by disrupting abnormal signal transmission in PD, dystonia, and tremor, while Smith et al (2014) reviewed data on the role of thalamo-striatal pathway in motor symptoms in PD, and suggest that deep brain stimulation to this pathway can aid in the treatment of PD symptoms. Unlike these reviews, Jahanshahi (2013) reviewed recent studies on the effects of subthalamic deep brain stimulation on motor and cognitive processes in PD, focusing on inhibitory and cognitive control. This review shows that beside motor processes, deep brain stimulation has a complex effect on cognitive control as well as other cognitive processes.…”
Section: Reviewsmentioning
confidence: 99%