Rescue GPi-DBS for a Stroke-associated Hemiballism in a Patient with STN-DBS

BACKGROUNDHemiballism/hemichorea commonly occurs as a result of a lesion in the subthalamic region. CASE REPORTA 38-year-old male with Parkinson's disease developed intractable hemiballism in his left extremities due to a small lesion that was located adjacent to the right deep brain stimulatio...

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Published inTremor and other hyperkinetic movements (New York, N.Y.) Vol. 4
Main Authors Oyama, Genko, Maling, Nicholas, Avila-Thompson, Amanda, Zeilman, Pam R, Foote, Kelly D, Malaty, Irene A, Rodriguez, Ramon L, Okun, Michael S
Format Journal Article
LanguageEnglish
Published Columbia University Libraries/Information Services 01.01.2014
Ubiquity Press
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Case Reports
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Summary:BACKGROUNDHemiballism/hemichorea commonly occurs as a result of a lesion in the subthalamic region. CASE REPORTA 38-year-old male with Parkinson's disease developed intractable hemiballism in his left extremities due to a small lesion that was located adjacent to the right deep brain stimulation (DBS) lead, 10 months after bilateral subthalamic nucleus (STN)-DBS placement. He underwent a right globus pallidus internus (GPi)-DBS lead implantation. GPi-DBS satisfactorily addressed his hemiballism. DISCUSSIONThis case offered a unique look at basal ganglia physiology in human hemiballism. GPi-DBS is a reasonable therapeutic option for the treatment of medication refractory hemiballism in the setting of Parkinson's disease.
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ISSN:2160-8288
2160-8288
DOI:10.7916/D8XP72WF