دورية أكاديمية
Successful asymmetrical deep brain stimulation using right subthalamic and left pallidal electrodes in a patient with Parkinson's disease.
| العنوان: | Successful asymmetrical deep brain stimulation using right subthalamic and left pallidal electrodes in a patient with Parkinson's disease. |
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| المؤلفون: | Baláž M; Medical Faculty, First Department of Neurology, St. Anne's Hospital and Masaryk University, Brno, Czech Republic., Filip P; Medical Faculty, First Department of Neurology, St. Anne's Hospital and Masaryk University, Brno, Czech Republic., Bočková M; Medical Faculty, First Department of Neurology, St. Anne's Hospital and Masaryk University, Brno, Czech Republic., Feitová V; Medical Faculty, Department of Imaging Techniques, St. Anne's Hospital and Masaryk University, Brno, Czech Republic., Říha I; Medical Faculty, Department of Neurosurgery, St. Anne's Hospital and Masaryk University, Brno, Czech Republic., Hrabovský D; Medical Faculty, Department of Neurosurgery, St. Anne's Hospital and Masaryk University, Brno, Czech Republic., Chrastina J; Medical Faculty, Department of Neurosurgery, St. Anne's Hospital and Masaryk University, Brno, Czech Republic. |
| المصدر: | British journal of neurosurgery [Br J Neurosurg] 2024 Apr; Vol. 38 (2), pp. 356-360. Date of Electronic Publication: 2021 Jan 21. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 8800054 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-046X (Electronic) Linking ISSN: 02688697 NLM ISO Abbreviation: Br J Neurosurg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2015-: Abingdon, Oxfordshire : Taylor & Francis Original Publication: Abingdon, Oxfordshire : Carfax Pub. Co., c1987- |
| مواضيع طبية MeSH: | Parkinson Disease*/therapy , Parkinson Disease*/complications , Deep Brain Stimulation*/methods, Humans ; Quality of Life ; Treatment Outcome ; Electrodes |
| مستخلص: | Purpose: Despite the best efforts of neurologists, the results of pharmacotherapy in the late stages of Parkinson's disease are often disappointing and accompanied by debilitating side effects. Under these circumstances, deep brain stimulation is a viable treatment option. The aim of the meticulous pre-surgical planning is not only precise electrode implantation, but also the avoidance of intraoperative vascular conflicts potentially causing intracerebral bleeding. Material and Methods: In this report, we present a patient with early-onset Parkinson's disease whose cerebral vascular anatomy precluded standard bilateral subthalamic nucleus electrode implantation. Initially, right subthalamic stimulation alone provided a very mild clinical benefit that was not reflected in the patient's quality of life. In this patient, an unusual configuration of intracerebral electrodes with right subthalamic and left pallidal stimulation electrodes was applied 15 months after the initial subthalamic electrode implantation. Results: The procedure has had a highly beneficial long-term effect without any significant complications. The greatest improvement was noted using the setting 1.8 V, 130 Hz, 90 μs at the right side (STN) and 3.7 V, 130 Hz, 120 μs at the left side (GPi). This allowed the patient to return to his daily life activities. Conclusions: The reported case provides a new perspective of treatment possibilities in complex functional neurosurgical cases requiring exceptional individualisation of the treatment approach. |
| فهرسة مساهمة: | Keywords: Deep brain stimulation; Parkinson’s disease; asymmetrical targets; globus pallidus internus; subthalamic nucleus |
| تواريخ الأحداث: | Date Created: 20210121 Date Completed: 20240322 Latest Revision: 20240322 |
| رمز التحديث: | 20240322 |
| DOI: | 10.1080/02688697.2021.1876210 |
| PMID: | 33475016 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1360-046X |
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| DOI: | 10.1080/02688697.2021.1876210 |