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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...

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Autores principales: Guerrero, Jaime R., Bhenderu, Lokeshwar S., Taghlabi, Khaled M., Cruz-Garza, Jesus G., Saifi, Comron, Faraji, Amir H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2022
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.
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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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