Are GBA–Parkinson Disease patients' good candidates for Deep Brain Stimulation? A Longitudinal Multicentric study on a Large Italian Cohort
Creators
- 1. IRCCS Mondino Foundation, Pavia (Italy); University of Pavia, Pavia (Italy)
- 2. IRCCS Mondino Foundation, Pavia (Italy)
- 3. Humanitas Research Hospital, Rozzano (Italy)
- 4. Università degli Studi di Torino, Turin (Italy)
- 5. University of Sussex, Brighton (United Kingdom)
- 6. Info Istituto delle Scienze Neurologiche di Bologna, Bologna (Italy)
- 7. EUCENTRE, Pavia (Italy)
- 8. Foundation IRCCS Neurological Institute "C. Besta", Milan (Italy)
- 9. Ospedale Maggiore Policlinico Milano, Milan (Italy)
- 10. IRCCS Azienda Unità Sanitaria Locale di Reggio Emilia, Reggio Emilia (Italy)
Description
Introduction
This database includes the raw data linked with the paper “ Are GBA–Parkinson Disease patients’ good candidates for Deep Brain Stimulation? A Longitudinal Multicentric study on a Large Italian Cohort ” published on “ Journal of Neurology, Neurosurgery, and Psychiatry ”.
In this paper, we reported data about the relationship between GBA variants and DBS long-term Aim of the study: To elucidate the impact of GBA variants on long-term DBS outcome in a large Italian cohort.
Methods
We retrospectively recruited a multicentric Italian DBS-PD cohort and assessed: 1) GBA prevalence; 2) pre-DBS clinical features; 3) outcomes of motor, cognitive and other non-motor features up to 5 years post-DBS.
Results
We included 365 PD patients, of whom 73 (20%) carried GBA variants. 5-year follow-up data were available for 173 PD, including 32 mutated subjects. GBA-PD had earlier onset and were younger at DBS than non-mutated PD (NM-PD). They also had shorter disease duration, higher occurrence of dyskinesias and orthostatic hypotension symptoms. At post-DBS, both groups showed marked motor improvement, a significant reduction of fluctuations, dyskinesias and impulsive-compulsive disorders (ICD) and low occurrence of most complications. Only cognitive scores worsened significantly faster in GBA-PD already after 3 years. Overt dementia was diagnosed in 11% NM-PD and 25% GBA-PD at 5-year follow-up