High-Frequency Pallidal Stimulation for Camptocormia in Parkinson Disease: Case Report
| Autor: | Christopher Lind, Arul Bala, Nova B Thani, Thomas E. Kimber |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Deep brain stimulation medicine.drug_class Deep Brain Stimulation medicine.medical_treatment Disease Globus Pallidus Spinal Curvatures Muscular Atrophy Spinal Camptocormia Physical medicine and rehabilitation medicine Humans Dystonia business.industry Parkinson Disease Muscle relaxant Middle Aged medicine.disease Neuromodulation (medicine) Globus pallidus Female Surgery Neurology (clinical) medicine.symptom business |
| Zdroj: | Neurosurgery. 68:E1501-E1505 |
| ISSN: | 0148-396X |
| DOI: | 10.1227/neu.0b013e318210c859 |
| Popis: | Background and importance Camptocormia is characterized by abnormal flexion of the thoracolumbar spine that increases during upright posture and abates in the recumbent position and has been reported to occur in patients with Parkinson disease. Camptocormia causes significant spinal and abdominal pain, impairment of balance, and social stigma. Clinical presentation A 57-year-old woman with Parkinson disease developed severe camptocormia, which did not improve with trials of antiparkinsonian and muscle relaxant medications. The patient was successfully treated with bilateral globus pallidus interna deep brain stimulation surgery under general anesthesia. High-frequency neuromodulation afforded relief of camptocormia and improvement in Parkinson disease symptoms. Conclusion Camptocormia in Parkinson disease may represent a form of dystonia and can be treated effectively with chronic pallidal neuromodulation. |
| Databáze: | OpenAIRE |
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