Musculoskeletal problems need more attention in deep brain stimulation for Parkinson’s disease
- Author:
Ji Young Yun
;
Beom S Jeon
;
Han-Joon Kim
;
Young Eun Kim
;
Jee-Young Lee
;
Sun Ha Paek
- Publication Type:Journal Article
- From:Neurology Asia
2013;18(1):53-58
- CountryMalaysia
- Language:English
-
Abstract:
Background and Objectives: This study aimed to examine factors of poor outcome by analyzing
the outcomes of bilateral subthalamic deep brain stimulation in Parkinson’s disease after 3 years.
Methods: We assumed that patients who could not manage independent life in their best stimulationon/medication-on
condition after a defi ned period might not have been a good surgical candidate.
A poor outcome is defi ned as a failure to maintain functional independence at three years during a
stimulation-on/medication-on state. Results: A total of 84 patients underwent bilateral subthalamic deep
brain stimulation and all were followed up for 3 years. We excluded one patient who had intracranial
hemorrhage. Twenty-one patients of the 83 patients could not keep up independent life even during
their best condition for the following reasons: freezing in 15 patients, dementia in 5, depression in 3,
musculoskeletal problems in 7, and cancer in one patient.
Conclusions: Many patients could not keep up independent life during their best condition as early as
three years after deep brain stimulation. Musculoskeletal problems were one major cause of disabilities,
as were freezing and dementia. We emphasize that musculoskeletal problems need more attention in
the preoperative screening of deep brain stimulation candidates and during the follow up.
- Full text:P020150703590854230987.pdf
