Bilateral globus pallidus stimulation for Huntington's disease
- PMID: 15293283
- DOI: 10.1002/ana.20183
Bilateral globus pallidus stimulation for Huntington's disease
Abstract
Bilateral globus pallidus internus (GPi) deep brain stimulation (DBS) was performed in a patient with Huntington's disease (HD) with severe chorea. Stimulation at 40 and 130 Hz improved chorea. Stimulation at 130 Hz slightly worsened bradykinesia overall, whereas 40 Hz had little effect. A [15O] H2O positron emission tomography showed increased regional cerebral blood flow in motor decision making and execution areas more evident at 40 Hz. Adjustment of stimulation parameters in GPi DBS may have the potential to optimize the motor response in HD, improving chorea without aggravating bradykinesia.
Copyright 2004 American Neurological Association
Comment in
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Calculating total electrical energy delivered by deep brain stimulation systems.Ann Neurol. 2005 Jul;58(1):168; author reply 168-9. doi: 10.1002/ana.20525. Ann Neurol. 2005. PMID: 15984018 No abstract available.
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