Combined thalamic and subthalamic deep brain stimulation for tremor-dominant Parkinson's disease

被引：17
|
作者：
Oertel, Markus F. [1 ]
Schupbach, W. Michael M. [2 ]
Ghika, Joseph-Andre [3 ]
Stieglitz, Lennart H. [1 ,4 ]
Fiechter, Michael [1 ]
Kaelin-Lang, Alain [2 ,5 ]
Raabe, Andreas [1 ]
Pollo, Claudio [1 ]
机构：
[1] Univ Bern, Dept Neurosurg, Inselspital, Univ Hosp Bern, Freiburgstr 10, CH-3010 Bern, Switzerland
[2] Univ Bern, Dept Neurol, Inselspital, Univ Hosp Bern, Bern, Switzerland
[3] Hop Valais, Dept Neurol, Sion, Switzerland
[4] Univ Zurich, Univ Zurich Hosp, Dept Neurosurg, Zurich, Switzerland
[5] Neuroctr Southern Switzerland, Lugano, Switzerland
来源：
ACTA NEUROCHIRURGICA | 2017年 / 159卷 / 02期
关键词：
Deep brain stimulation; Parkinson's disease; Subthalamic nucleus; Thalamic ventral intermediate nucleus; Tremor; CENTROMEDIAN-PARAFASCICULARIS COMPLEX; GLOBUS-PALLIDUS INTERNUS; BILATERAL IMPLANTATION; VENTRALIS INTERMEDIUS; NUCLEUS STIMULATION; PEDUNCULOPONTINE; OUTCOMES; SURGERY;
D O I：
10.1007/s00701-016-3044-5
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Deep brain stimulation (DBS) in the thalamic ventral intermediate (Vim) or the subthalamic nucleus (STN) reportedly improves medication-refractory Parkinson's disease (PD) tremor. However, little is known about the potential synergic effects of combined Vim and STN DBS. We describe a 79-year-old man with medication-refractory tremor-dominant PD. Bilateral Vim DBS electrode implantation produced insufficient improvement. Therefore, the patient underwent additional unilateral left-sided STN DBS. Whereas Vim or STN stimulation alone led to partial improvement, persisting tremor resolution occurred after simultaneous stimulation. The combination of both targets may have a synergic effect and is an alternative option in suitable cases.
引用
收藏
页码：265 / 269
页数：5
相关论文
共 50 条
  • [41] Most effective stimulation site in subthalamic deep brain stimulation for Parkinson's disease
    Herzog, J
    Fietzek, U
    Hamel, W
    Morsnowski, A
    Steigerwald, F
    Schrader, B
    Weinert, D
    Pfister, G
    Müller, D
    Mehdorn, HM
    Deuschl, G
    Volkmann, J
    MOVEMENT DISORDERS, 2004, 19 (09) : 1050 - 1054
  • [42] Tremor reduction by subthalamic nucleus stimulation and medication in advanced Parkinson’s disease
    Christian Blahak
    Johannes C. Wöhrle
    Hans-Holger Capelle
    Hansjörg Bäzner
    Eva Grips
    Ralf Weigel
    Michael G. Hennerici
    Joachim K. Krauss
    Journal of Neurology, 2007, 254 : 169 - 178
  • [43] Tremor reduction by subthalamic nucleus stimulation and medication in advanced Parkinson's disease
    Blahak, Christian
    Woehrle, Johannes C.
    Capelle, Hans-Holger
    Baezner, Hansjoerg
    Grips, Eva
    Weigel, Ralf
    Hennerici, Michael G.
    Krauss, Joachim K.
    JOURNAL OF NEUROLOGY, 2007, 254 (02) : 169 - 178
  • [44] Neuropsychological changes and bilateral subthalamic deep brain stimulation in Parkinson's disease
    Esteban, JCG
    Lezcano, E
    Molano, A
    Lambarri, I
    Bilbao, G
    Madoz, P
    Zarranz, JJ
    NEUROLOGIA, 2003, 18 (03): : 139 - 145
  • [45] Subthalamic Nucleus Deep Brain Stimulation for Camptocormia Associated with Parkinson's disease
    Sako, Wataru
    Nishio, Masami
    Maruo, Tomoyuki
    Shimazu, Hideki
    Matsuzaki, Kazuhito
    Tamura, Tetsuya
    Mure, Hideo
    Ushio, Yukitaka
    Nagahiro, Shinji
    Kaji, Ryuji
    Goto, Satoshi
    MOVEMENT DISORDERS, 2009, 24 (07) : 1076 - 1079
  • [46] Periodic hiccup in patients with subthalamic deep brain stimulation for Parkinson's disease
    Jochim, Angela
    Castrop, Florian
    Gempt, Jens
    Haslinger, Bernhard
    PARKINSONISM & RELATED DISORDERS, 2015, 21 (09) : 1117 - 1118
  • [47] Improving outcomes of subthalamic nucleus deep brain stimulation in Parkinson's disease
    Bari, Ausaf A.
    Fasano, Alfonso
    Munhoz, Renato P.
    Lozano, Andres M.
    EXPERT REVIEW OF NEUROTHERAPEUTICS, 2015, 15 (10) : 1151 - 1160
  • [48] Functional Imaging of Subthalamic Nucleus Deep Brain Stimulation in Parkinson's Disease
    Boertien, Tessel
    Zrinzo, Ludvic
    Kahan, Joshua
    Jahanshahi, Marjan
    Hariz, Marwan
    Mancini, Laura
    Limousin, Patricia
    Foltynie, Thomas
    MOVEMENT DISORDERS, 2011, 26 (10) : 1835 - 1843
  • [49] Deep Brain Stimulation of the Subthalamic and Pedunculopontine Nucleus in a Patient with Parkinson's Disease
    Liu, Huan-Guang
    Zhang, Kai
    Yang, An-Chao
    Zhang, Jian-Guo
    JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, 2015, 57 (04) : 303 - 306
  • [50] Dorsal subthalamic deep brain stimulation improves pain in Parkinson's disease
    Askari, Asra
    Lam, Jordan L. W.
    Zhu, Brandon J.
    Lu, Charles W.
    Chou, Kelvin L.
    Wyant, Kara J.
    Patil, Parag G.
    FRONTIERS IN PAIN RESEARCH, 2023, 4
12345