• VPS13C parkinsonism showed initial STN-DBS benefit then rapid decline. • Motor, cognitive, and psychiatric deterioration occurred after DBS. • Cardiac MIBG converted from normal uptake to denervation over 7 years. • Findings support genetic testing before DBS in early-onset PD. • Surgicogenomics may guide DBS candidate selection in genetic PD.
Sumikura et al. (Wed,) studied this question.