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Parkinson’s DBS Impulse Risk: Diffusion MRI Prediction

Stylized illustration of a Parkinson's patient brain with overlaid diffusion-MRI tractography showing frontolimbic and executive control fiber bundles, alongside a DBS lead, representing the imaging biomarker question for post-DBS impulse control.

Subthalamic deep brain stimulation (STN-DBS) gives most patients with advanced Parkinson’s disease meaningful motor relief, but a subset develops new or worsened impulse control disorders — pathological gambling, compulsive shopping, hypersexuality, binge eating — while others see preexisting symptoms improve. A 2026 prospective preprint from Loehrer et al. used pre-surgical diffusion MRI to identify microstructural …

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