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Pathological crying induced by deep brain stimulation

✍ Scribed by Lars Wojtecki; Janpeter Nickel; Lars Timmermann; Mohammad Maarouf; Martin Südmeyer; Frank Schneider; Rüdiger J. Seitz; Jürgen Voges; Volker Sturm; Alfons Schnitzler

Book ID
102505725
Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
111 KB
Volume
22
Category
Article
ISSN
0885-3185

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✦ Synopsis

Abstract

Pathological crying (PLC)—an affective gesture without any or an adequate emotion—occurs with various diseases. A recent theory suggests that PLC is caused by a disruption of higher order cortical association areas from the cerebellum which computes profiles of psychomotor responses. We report a patient with Parkinson's disease who developed PLC during stimulation of the subthalamic nucleus (STN) predominantly of the right hemisphere. Positron emission tomography imaging showed thalamo‐ponto‐cerebellar activation during such stimulation. These findings indicate that the STN and possibly also ponto‐cerebellar pathways are involved in psychomotor control and in the modulation of PLC. © 2007 Movement Disorder Society

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