Combined subthalamic nucleus and globus pallidus internus deep brain stimulation in Parkinson's disease

被引：0

作者：

Campins-Romeu, Marina ^{[1
]}

Sastre-Bataller, Isabel ^{[1
]}

Conde-Sardon, Rebeca ^{[2
]}

Baviera-Munoz, Raquel ^{[3
]}

Morata-Martinez, Carlos ^{[1
]}

Freire-Alvarez, Eric ^{[4
,5
]}

Gutierrez-Martin, Antonio ^{[2
]}

Martinez-Torres, Irene ^{[1
]}

机构：

[1] Unidad Trastornos Movimiento, Dept Neurol, Madrid, Spain

[2] Hosp Univ Politecn La Fe, Dept Neurocirugia Func, Unidad Neurocirugia Func, Valencia, Spain

[3] Inst Invest Sanitaria La Fe, Valencia, Spain

[4] Hosp Gen Univ Elche, Elche, Spain

[5] Hosp IMED Elche, Alicante, Spain

来源：

REVISTA DE NEUROLOGIA | 2023年 / 77卷 / 03期

关键词：

Combined; Deep brain stimulation; Globus pallidus internus; Neuromodulation; Parkinson's disease; Subthalamic nucleus; STN;

D O I：

10.33588/rn.7703.2022250

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Introduction. Subthalamic nucleus (STN) and globus pallidus internus (GPi) deep brain stimulation (DBS) are the main surgical approaches for advanced Parkinson's disease. Stimulation is usually applied bilaterally in the same brain structure. However, when various motor symptoms concomitantly present in the same patient, simultaneous modulation of different brain structures may be a suitable alternative. Case report. We present a patient with advanced Parkinson's disease with a combined DBS neurosurgery. Left STN DBS optimally controlled the off right hemibody symptomatology while left side troublesome dyskinesias were successfully relieved by right GPi stimulation. Discussion. Combined STN/GPi stimulation can be considered a suitable approach when challenging motor symptomatology arises in advanced Parkinson's disease patients.

引用

页码：82 / 85

页数：4

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