Effects of subthalamic nucleus stimulation and levodopa on decision-making in Parkinson's disease.
Cyril Atkinson-ClementÉmilie CavazziniAlexandre ZénonTatiana WitjasFrédérique FluchèreJean-Philippe AzulayChristelle BaunezAlexandre EusebioPublished in: Movement disorders : official journal of the Movement Disorder Society (2019)
Our study shows that l-dopa administration does not fully restore cost-benefit decision-making processes, whereas STN-DBS fully normalizes patients' behaviors. These findings suggest that dopamine is partly involved in cost-benefit valuation, and that STN-DBS can have a beneficial effect on motivated behaviors in PD and may improve certain forms of impulsive behaviors. © 2019 International Parkinson and Movement Disorder Society.