Psychiatric screening

♦ There have been increasing reports of psychiatric complications of DBS surgery.

♦ These have included but are not limited to depression, depressive symptoms, anxiety, suicide, impulsivity, obsessive compulsive symptoms, aggression, anger, and mania.

♦ Although preoperative screening is not required, many centres perform it routinely.

Neuropsychological screening tests for DBS surgery

GENERAL

Mini-Mental State Examination (MMSE) Mattis Dementia Rating Scale Wechsler Adult Intelligence Scale (WAIS) III

(information, vocabulary, matrix)

LEARNING & MEMORY

Paced Auditory Serial Addition Test (PASAT)

WAIS III (Digit forward and backwards) Hopkins VerbalLearning Task Wechsler Memory Scale (WMS) III (stories) BriefVisual MotorTest (BVMT)-R

LANGUAGE

Wide Range Achievement Test

(WRAT) III Wechsler Test of Adult Reading (WTAR) Boston Naming Test Controlled Oral Word Association (COWA)

VISUOSPATIAL Judgement of Line Orientation Test (JOLO) Face Recognition Test

Trail making test (Trails A and B) WAIS III (digit symbols)

MOOD

Geriatric Depression Scale Beck Depression Scale State-Trait Anxiety Index Visual Analog Mood Scale

104 Neuropsychological screening tests for DBS surgery.

This chart is a sample screening used at the University of Florida, but such tests may vary from institution to institution.

104 Neuropsychological screening tests for DBS surgery.

This chart is a sample screening used at the University of Florida, but such tests may vary from institution to institution.

♦ A preoperative screening with a psychiatrist who can perform a structured clinical interview, make preoperative DSM diagnoses, and carefully evaluate depression, anxiety, and mania is useful.

♦ The psychiatrist may also recommend augmenting the treatment strategy prior to surgery in order to combat depression or anxiety that may impact on the intraoperative procedure and/or outcome.

0 0

Post a comment