首页|Developing Predictor Models of Postoperative Verbal Fluency After Deep Brain Stimulation Using Preoperative Neuropsychological Assessment

Developing Predictor Models of Postoperative Verbal Fluency After Deep Brain Stimulation Using Preoperative Neuropsychological Assessment

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BACKGROUND: Deep brain stimulation (DBS) for Parkinson disease provides significant improvement of motor symptoms but can also produce neurocognitive side effects。 A decline in verbal fluency (VF) is among the most frequently reported side effects。 Preoperative factors that could predict VF decline have yet to be identified。 OBJECTIVE; To develop predictive models of DBS postoperative VF decline using a machine learning approach。 METHODS: We used a prospective database of patients who underwent neuropsychological and VF assessment before both subthalamic nucleus (n = 47, bilateral = 44) and globus pallidus interna (n = 43, bilateral = 39) DBS。 We used a neurobehavioral rating profile as features for modeling postoperative VF。 We constructed separate models for action, semantic, and letter VF。 We used a leave-one-out scheme to test the accuracy of the predictive models using median absolute error and correlation with actual postoperative scores。

Verbal fluencySubthalamic nucleusDeep brain stimulationGlobus pallidusNeuropsychology

Ahmad Alhourani、Scott A. Wylie、Jessica E. Summers、Fenna T. Phibbs、Elise B. Bradley、Joseph S. Meimat、Nelleke C. Van Wouwe

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Department of Neurosurgery, University of Louisville, Louisville, Kentucky, USA

2022

Neurosurgery

Neurosurgery

ISTP
ISSN:0148-396X
年,卷(期):2022.91(2)