Subthalamic nucleus stimulation and levodopa-resistant postural instability in Parkinson's disease.

Abstract:

:We examined the effect of bilateral subthalamic nucleus stimulation on levodopa-resistant balance impairment in 14 patients with Parkinson's disease and 18 matched controls. Instability was quantitatively assessed using standardized multidirectional dynamic posturography. Patients were tested after taking a suprathreshold dose of levodopa, both with stimulators turned on and off. Patients with stimulators turned off were more unstable than controls following backward directed perturbations. Overall, patients' instability did not improve with STN stimulation, and considerable inter-individual variability was noted. Of note, marked levodopa- resistant axial motor symptoms before surgery correlated with an adverse treatment effect. We conclude that STN stimulation does not alleviate levodopa-resistant postural instability in Parkinson's disease.

journal_name

J Neurol

journal_title

Journal of neurology

authors

Visser JE,Allum JH,Carpenter MG,Esselink RA,Speelman JD,Borm GF,Bloem BR

doi

10.1007/s00415-008-0636-x

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

205-10

issue

2

eissn

0340-5354

issn

1432-1459

journal_volume

255

pub_type

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