88 Psychiatric Considerations in Management of Movement

Deep Brain Stimulation (DBS) is performed for a variety of movement disorder indications chief among which are Parkinson’s Disease (PD) and dystonia.Otherindicationsincludeessentialtremor, tremor of Multiple Sclerosis and tardive dyskinesia (TD). While the motor outcomes of DBS in these disorders are reviewed in other chapters of this text, this chapter will focus on the psychiatric sequelae of DBS. Areas reviewed will be subthalamic nucleus (STN) and globus pallidus interna (GPi) targeting for PD and GPi stimulation for dystonia as these indications have been investigated most comprehensively. Treatment of the neuropsychiatric symptoms post DBS will not be covered in this chapter. Some management strategies are offered in Voon et al. [1]