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Deep brain stimulation of the internal pallidum in multiple system atrophy.

Abstract：

:We describe the outcome of deep brain stimulation of the internal pallidum in a 57-year old patient with multiple system atrophy. Although the prominent dystonic features of this patient were markedly attenuated post-operatively, the outcome was to be considered unfavourable. There was a severe increase in akinesia resulting in overall decrease of mobility in limbs as well as in the face. As a result, the patient was anarthric and displayed dysphagia. A laterality effect of stimulation on oro-facial movements was demonstrated. The patient died 7 months post-operatively. This report adds to the growing consensus that multiple system atrophy patients are unsuitable candidates for deep brain stimulation.

journal_name

Parkinsonism Relat Disord

journal_title

Parkinsonism & related disorders

authors

Santens P,Vonck K,De Letter M,Van Driessche K,Sieben A,De Reuck J,Van Roost D,Boon P

doi

10.1016/j.parkreldis.2005.08.004

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

181-3

issue

3

eissn

1353-8020

issn

1873-5126

pii

S1353-8020(05)00182-3

journal_volume

12

pub_type

杂志文章

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