Patients with symmetric Parkinson’s disease do poorly with subthalamic stimulation

This study provides class IIb evidence of worse ADL outcome of STN-DBS in patients with symmetric compared with asymmetric PD. Clinicians should counsel patients with symmetric PD on their elevated risk of ADL non-response when discussing STN-DBS as a treatment option.

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Publication Details

Journal
Journal of Neurology Neurosurgery & Psychiatry
Published
2026-03-04
DOI
https://doi.org/10.1136/jnnp-2025-336382
Primary Topic
Neurological disorders and treatments
Type
article
Field-Weighted Citation Impact
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article

Patients with symmetric Parkinson’s disease do poorly with subthalamic stimulation

Stefanie T. Jost, Philipp Alexander Loehrer, A. Fasano, Roberta Biundo et al.
Journal of Neurology Neurosurgery & Psychiatry
Neurological disorders and treatments
article

Patients with symmetric Parkinson’s disease do poorly with subthalamic stimulation

Stefanie T. Jost, Philipp Alexander Loehrer, A. Fasano, Roberta Biundo, Jonas Krauss, Christopher Nimsky, Julian Evans, Lars Timmermann, Per Borghammer, J. N. Petry-Schmelzer, Monty Silverdale, Gereon Rudolf Fink, Haidar S. Dafsari, Jan F Krause, Agni Maria Konitsioti, David J Pedrosa, Keyoumars Ashkan, K Ray Chaudhuri, Camilla Atwani, Pablo Martinez-Martin, The German Parkinson Society Non-Motor Symptoms Study Group, Veerle Visser-Vandewalle, Angelo Antonini
article en

Abstract

This study provides class IIb evidence of worse ADL outcome of STN-DBS in patients with symmetric compared with asymmetric PD. Clinicians should counsel patients with symmetric PD on their elevated risk of ADL non-response when discussing STN-DBS as a treatment option.

Journal of Neurology Neurosurgery & Psychiatry
University of Padua (IT), Philipps University of Marburg (DE), University of Cologne (DE), University of Toronto (CA), Aarhus University (DK), Universitätsklinikum Gießen und Marburg (DE), Toronto Western Hospital (CA), University Hospital Bonn (DE), Manchester Academic Health Science Centre (GB), Salford Royal NHS Foundation Trust (GB), Dubai Hospital (AE), Aarhus University Hospital (DK), Biomedical Research Networking Center on Neurodegenerative Diseases (ES), King's College Hospital NHS Foundation Trust (GB), UK Dementia Research Institute (GB), Krembil Foundation (CA), University Hospital Cologne (DE), Krembil Research Institute
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Openalex Percentile: Top 40%
Neurological disorders and treatments
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