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STN DBS for Advanced Parkinson Disease Simultaneously Alleviates Cluster Headache
- Source :
- Case Reports in Neurology, Case Reports in Neurology, Vol 9, Iss 3, Pp 289-292 (2017)
- Publication Year :
- 2017
- Publisher :
- S. Karger AG, 2017.
-
Abstract
- Background: STB DBS (deep brain stimulation of the subthalamic nucleus) is commonly used to treat advanced Parkinson disease (PD) while posterior hypothalamic DBS for cluster headache (CH) remains experimental. Methods: We present a case where a middle-aged man was diagnosed with both CH and PD and received medical treatment for both. The patient was treated with bilateral STN DBS after developing side effects related to L-dopa. Findings: STN DBS not only alleviated PD symptoms but also the CH, and hence the CH treatment could be withdrawn. During follow-up PD progressed but the effect on CH symptoms was sustained. Conclusions: The anatomical proximity of the medial STN and hypothalamus, their similar connectivity via the hyperdirect pathway, and the autonomic effects of STN DBS could explain symptom relief for both PD and CH.
- Subjects :
- 0301 basic medicine
Deep brain stimulation
Cluster headache
medicine.medical_treatment
education
Case Report
Disease
Subthalamic nucleus
lcsh:RC346-429
3124 Neurology and psychiatry
03 medical and health sciences
0302 clinical medicine
Symptom relief
Medicine
lcsh:Neurology. Diseases of the nervous system
Medical treatment
business.industry
3112 Neurosciences
medicine.disease
nervous system diseases
3. Good health
Parkinson disease
surgical procedures, operative
030104 developmental biology
nervous system
Hypothalamus
Anesthesia
Neurology (clinical)
business
therapeutics
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 1662680X
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- Case Reports in Neurology
- Accession number :
- edsair.doi.dedup.....53a1d9d5d74914a04ad3def4f59b2ab8