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Medicina Fluminensis, Vol. 57 No. 2, 2021.

Case report

https://doi.org/10.21860/medflum2021_371653

Outcome of deep brain stimulation in Parkinson’s disease in an elderly patient – case report

Mario Hero orcid id orcid.org/0000-0003-0933-3760 ; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
Vladimira Vuletić ; Medicinski fakultet Sveučilišta u Rijeci, Rijeka, Hrvatska; Klinika za neurologiju, KBC Rijeka, Rijeka, Hrvatska

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Abstract

Abstract. Aim: To present the outcome of deep brain stimulation (DBS) through a time period of 2.5 years, in a seventy-eight-year-old female suffering from drug-resistant Parkinson’s disease (PD). Case report: We present the case of a 74-year-old patient who was interested in DBS due to drug-resistant PD. The disease manifested itself in the form of tremor of the left arm and leg and greatly impaired her quality of life. At the age of 75, she was embedded with DBS in the subthalamic nuclei (STN) bilaterally. At the first postoperative check-up, it was found that there was almost no tremor after stimulation and the speech was orderly. Electrode stimulations were placed on the right (D 0- 2.1 V 90 μs 130 Hz) and on the left (L 8- 0.8 V 90 μs 130 Hz). Over a period of 2.5 years, the patient was regularly monitored and electrode stimulation was changed twice. At the last check-up, she stated that she performed her daily activities without hindrance and in her free time she was even knitting, what she couldn’t do before. Also, the patient was well cognitively preserved. The level of electrode stimulation was right (D 0– 2.4 V 90 μs 130 Hz) and left (L 8- 1.0 V 90 μs 130 Hz). Conclusion: In carefully selected candidates, who have been suffering from drug-resistant PD for many years, age over 70 years should not be a contraindication for DBS STN. The presented case shows that DBS STN can be useful in reducing symptoms and thus significantly improve the quality of life in such patients.

Keywords

deep brain stimulation; Parkinson’s disease; subthalamic nucleus

Hrčak ID:

255662

URI

https://hrcak.srce.hr/255662

Publication date:

1.6.2021.

Article data in other languages: croatian

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