Deep Brain Stimulation of bilateral Subthalamic nucleus (STN) following pallidotomy with Parkinsons crisis: A case report

  • Resha Shrestha Department of Neurosurgery Annapurna Neurological Institute and Allied Sciences Kathmandu
  • Pranaya Shrestha Department of Neurosurgery Annapurna Neurological Institute and Allied Sciences Kathmandu
  • Pravesh Rajbhandari Department of Neurosurgery Annapurna Neurological Institute and Allied Sciences Kathmandu
  • Samir Acharya Department of Neurosurgery Annapurna Neurological Institute and Allied Sciences Kathmandu
  • Basant Pant Department of Neurosurgery Annapurna Neurological Institute and Allied Sciences Kathmandu
Keywords: Pallidotomy, Parkinsons Crisis, STN DBS

Abstract

We present a case of 57 years old patient with Idiopathic Parkinsons disease(PD) who had right sided Globus PallidusInternus (GPi) lesioning or pallidotomy as surgical treatment modality of PD. However this patient went into Parkinsons crisis postoperatively which is a rare form of complication. We had to admit in critical care for two weeks before he gradually improved and reached to preoperative state. This patient finally underwent deep brain stimulation(DBS) of bilateral Subthalamic nucleus (STN) and he has improved in terms of Unified Parkinson’s Disease Rating Scale(UPDRS) score.

Nepal Journal of Neuroscience 15:40-42, 2018

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Abstract
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Published
2018-05-28
How to Cite
Shrestha, R., Shrestha, P., Rajbhandari, P., Acharya, S., & Pant, B. (2018). Deep Brain Stimulation of bilateral Subthalamic nucleus (STN) following pallidotomy with Parkinsons crisis: A case report. Nepal Journal of Neuroscience, 15(1), 40-42. https://doi.org/10.3126/njn.v15i1.20029
Section
Case Report