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OFF-off rebound dyskinesia in subthalamic nucleus deep brain stimulation of Parkinson's disease.
- Source :
-
Movement disorders : official journal of the Movement Disorder Society [Mov Disord] 2006 Sep; Vol. 21 (9), pp. 1487-90. - Publication Year :
- 2006
-
Abstract
- A 61-year-old man with Parkinson's disease (PD), motor fluctuations, and dyskinesias underwent bilateral implantation of deep brain stimulation (DBS) electrodes in the subthalamic nucleus (STN). One month after surgery, DBS was optimized to bilateral monopolar settings at the most proximal electrode just superior to the STN, which improved motor fluctuations and dyskinesias. At several postoperative evaluations off medications overnight, both stimulators were turned off and within 60 seconds he developed severe dyskinesias. When the stimulators were turned back on, the dyskinesias soon resolved. This article is a first report of a unique pattern of rebound-type dyskinesia that occurred in the off medication state produced by stopping STN DBS.<br /> ((c) 2006 Movement Disorder Society.)
- Subjects :
- Antiparkinson Agents adverse effects
Carbidopa adverse effects
Combined Modality Therapy
Corpus Striatum physiopathology
Dominance, Cerebral physiology
Drug Therapy, Combination
Dyskinesias physiopathology
Electrodes, Implanted
Humans
Levodopa adverse effects
Magnetic Resonance Imaging
Male
Middle Aged
Neurologic Examination drug effects
Parkinson Disease physiopathology
Secondary Prevention
Stereotaxic Techniques
Substance Withdrawal Syndrome etiology
Substance Withdrawal Syndrome physiopathology
Antiparkinson Agents administration & dosage
Carbidopa administration & dosage
Deep Brain Stimulation
Dyskinesias rehabilitation
Levodopa administration & dosage
Parkinson Disease rehabilitation
Subthalamic Nucleus physiopathology
Subjects
Details
- Language :
- English
- ISSN :
- 0885-3185
- Volume :
- 21
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Movement disorders : official journal of the Movement Disorder Society
- Publication Type :
- Academic Journal
- Accession number :
- 16721730
- Full Text :
- https://doi.org/10.1002/mds.20964