Campins-Romeu M, Sastre-Bataller I, Conde-Sardón R, Baviera-Muñoz R, Morata-Martínez C, Freire-Álvarez E, Gutiérrez-Martín A, Martínez-Torres I. Combined subthalamic nucleus and globus pallidus internus deep brain stimulation in Parkinson's disease.
Rev Neurol 2023;
77:83-86. [PMID:
37466135 PMCID:
PMC10662243 DOI:
10.33588/rn.7703.2022250]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Indexed: 07/20/2023]
Abstract
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.
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