Combined pallidal and subthalamic nucleus stimulation in sporadic dystonia-parkinsonism.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 21923241.
- Also identified by DOI 10.3171/2011.8.JNS101552.
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Abstract
Multifocal deep brain stimulation (DBS) is a new technique that has been introduced recently. A 39-year-old man with dystonia-parkinsonism underwent the simultaneous implantation of subthalamic nucleus (STN) and globus pallidus internus (GPi) DBS electrodes. While bilateral STN DBS controlled the parkinsonian symptoms well and allowed for a reduction in levodopa, the improvement of dystonia was only temporary. Additional GPi DBS also alleviated dystonic symptoms. Formal assessment at the 1-year follow-up showed that both the parkinsonian symptoms and the dystonia were markedly improved via continuous bilateral combined STN and GPi stimulation. Sustained benefit was achieved at 3 years postoperatively.
Medical subject headings
- Deep Brain Stimulation
- Dystonia
- Dystonic Disorders
- Globus Pallidus
- Parkinsonian Disorders
- Subthalamic Nucleus