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Improvement in sagittal alignment and mechanical low-back pain following deep brain stimulation for Parkinson’s disease: illustrative case
BACKGROUND: Parkinson’s disease (PD) is a common neurogenerative disease marked by the characteristic triad of bradykinesia, rigidity, and tremor. A significant percentage of patients with PD also demonstrate postural abnormalities (camptocormia) that limit ambulation and accelerate degenerative pat...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Association of Neurological Surgeons
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9592960/ https://www.ncbi.nlm.nih.gov/pubmed/36281475 http://dx.doi.org/10.3171/CASE22357 |
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author | Guerrero, Jaime R. Bhenderu, Lokeshwar S. Taghlabi, Khaled M. Cruz-Garza, Jesus G. Saifi, Comron Faraji, Amir H. |
author_facet | Guerrero, Jaime R. Bhenderu, Lokeshwar S. Taghlabi, Khaled M. Cruz-Garza, Jesus G. Saifi, Comron Faraji, Amir H. |
author_sort | Guerrero, Jaime R. |
collection | PubMed |
description | BACKGROUND: Parkinson’s disease (PD) is a common neurogenerative disease marked by the characteristic triad of bradykinesia, rigidity, and tremor. A significant percentage of patients with PD also demonstrate postural abnormalities (camptocormia) that limit ambulation and accelerate degenerative pathologies of the spine. Although deep brain stimulation (DBS) is a well-established treatment for the motor fluctuations and tremor seen in PD, the efficacy of DBS on postural abnormalities in these patients is less clear. OBSERVATIONS: The authors present a patient with a history of PD and prior lumbosacral fusion who underwent bilateral subthalamic nucleus DBS and experienced immediate improvement in sagittal alignment and subjective relief of mechanical low-back pain. LESSONS: DBS may improve postural abnormalities seen in PD and potentially delay or reduce the need for spinal deformity surgery. |
format | Online Article Text |
id | pubmed-9592960 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | American Association of Neurological Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-95929602022-10-26 Improvement in sagittal alignment and mechanical low-back pain following deep brain stimulation for Parkinson’s disease: illustrative case Guerrero, Jaime R. Bhenderu, Lokeshwar S. Taghlabi, Khaled M. Cruz-Garza, Jesus G. Saifi, Comron Faraji, Amir H. J Neurosurg Case Lessons Case Lesson BACKGROUND: Parkinson’s disease (PD) is a common neurogenerative disease marked by the characteristic triad of bradykinesia, rigidity, and tremor. A significant percentage of patients with PD also demonstrate postural abnormalities (camptocormia) that limit ambulation and accelerate degenerative pathologies of the spine. Although deep brain stimulation (DBS) is a well-established treatment for the motor fluctuations and tremor seen in PD, the efficacy of DBS on postural abnormalities in these patients is less clear. OBSERVATIONS: The authors present a patient with a history of PD and prior lumbosacral fusion who underwent bilateral subthalamic nucleus DBS and experienced immediate improvement in sagittal alignment and subjective relief of mechanical low-back pain. LESSONS: DBS may improve postural abnormalities seen in PD and potentially delay or reduce the need for spinal deformity surgery. American Association of Neurological Surgeons 2022-10-24 /pmc/articles/PMC9592960/ /pubmed/36281475 http://dx.doi.org/10.3171/CASE22357 Text en © 2022 The authors https://creativecommons.org/licenses/by-nc-nd/4.0/CC BY-NC-ND 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ). |
spellingShingle | Case Lesson Guerrero, Jaime R. Bhenderu, Lokeshwar S. Taghlabi, Khaled M. Cruz-Garza, Jesus G. Saifi, Comron Faraji, Amir H. Improvement in sagittal alignment and mechanical low-back pain following deep brain stimulation for Parkinson’s disease: illustrative case |
title | Improvement in sagittal alignment and mechanical low-back pain following deep brain stimulation for Parkinson’s disease: illustrative case |
title_full | Improvement in sagittal alignment and mechanical low-back pain following deep brain stimulation for Parkinson’s disease: illustrative case |
title_fullStr | Improvement in sagittal alignment and mechanical low-back pain following deep brain stimulation for Parkinson’s disease: illustrative case |
title_full_unstemmed | Improvement in sagittal alignment and mechanical low-back pain following deep brain stimulation for Parkinson’s disease: illustrative case |
title_short | Improvement in sagittal alignment and mechanical low-back pain following deep brain stimulation for Parkinson’s disease: illustrative case |
title_sort | improvement in sagittal alignment and mechanical low-back pain following deep brain stimulation for parkinson’s disease: illustrative case |
topic | Case Lesson |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9592960/ https://www.ncbi.nlm.nih.gov/pubmed/36281475 http://dx.doi.org/10.3171/CASE22357 |
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