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 CASE REPORT
Year : 2020  |  Volume : 68  |  Issue : 1  |  Page : 165--167

Direct Comparison of Posterior Subthalamic Area Stimulation versus Subthalamic Nucleus Deep Brain Stimulation in Parkinson's Disease


1 Department of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, United States
2 Department of Neuroscience, The Ohio State University Wexner Medical Center, Columbus, OH, United States

Correspondence Address:
Dr. Kristin M Huntoon
N1014 Doan Hall, 410 W 10th Avenue, Columbus, Ohio - 43210
United States
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.279694

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In this case report, we describe successful tremor capture via stimulation of the posterior subthalamic area (PSA) for a patient with tremor-predominant Parkinson's disease. In this scenario, the patient had a deep brain stimulation (DBS) lead placed in the PSA of the right hemisphere and a DBS lead placed in the subthalmic nucleus (STN) of the left hemisphere. Therefore, we were able to directly compare tremor capture in the same patient receiving stimulation in two different brain areas. We show that both placements are equally efficacious for tremor suppression, though the DBS lead placed in the PSA required slightly higher current intensity. This comparison in the same patient confirms that stimulation of the PSA can successfully suppress tremor in Parkinson's disease.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow