Abstract:
:A 59-year-old woman with levodopa-responsive parkinsonism complicated by motor fluctuations and generalized levodopa dyskinesia underwent bilateral subthalamic deep brain stimulation (STN DBS) 7 years after symptom onset. DBS improved levodopa-responsive upper extremity bradykinesia but aggravated speech, swallowing, and gait. Motor fluctuations were not improved and levodopa dose remained unchanged. Pulse generators were turned off. Clinical features and brain MRI in this case were indicative of multiple system atrophy (MSA). STN DBS is not recommended for patients with MSA.
journal_name
Neurologyjournal_title
Neurologyauthors
Tarsy D,Apetauerova D,Ryan P,Norregaard Tdoi
10.1212/01.wnl.0000073986.74883.36subject
Has Abstractpub_date
2003-07-22 00:00:00pages
247-9issue
2eissn
0028-3878issn
1526-632Xjournal_volume
61pub_type
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