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. 2020 Jun 20;7(6):737-738.
doi: 10.1002/mdc3.12985. eCollection 2020 Aug.

Managing Device-Aided Treatments in Parkinson's Disease in Times of COVID-19

Filomena Abate  1 , Roberto Erro  1 , Paolo Barone  1 , Marina Picillo  1
Affiliations

Managing Device-Aided Treatments in Parkinson's Disease in Times of COVID-19

Filomena Abate et al. Mov Disord Clin Pract. .
No abstract available

Keywords: COVID‐1; DBS; LCIG; Parkinson's disease.

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Figures

FIG 1
FIG 1
Home program for stimulation tuning with remote control and stimulation management to avoid further hospital visits. Upper section. Pre‐established 4‐week program for stimulation tuning and dopaminergic medication management. Medications were slowly titrated since the patient was at risk for side effects from dopaminergic deprivation given the history of pathological gambling. Medications at the beginning included: Levodopa/Carbidopa/Entacapone 100 mg 2/die, Levodopa/Carbidopa/Entacapone 75 mg 3/die, Levodopa/Carbidopa/Entacapone 50 mg 1/die, Rotigotine patch 4 mg/die, Melevodopa/Carbidopa 100+25 3/die, Amantadine 100 mg 3/die. Lower section. Effective program was changed due to emergence of dyskinesia, increase of sexual drive and gait freezing. Over four weeks, the patient was able to finish programming [R STN C+ (2/3/4)‐ 1.3mA/60μs/130Hz; L STN C+ (5/6/7)‐ 1.3mA/60μs/130Hz) with a significant reduction of levodopa equivalent daily dose (LEDD from 1152 to 600 mg). Amantadine was unmodified. Motor symptoms were monitored with patients’ on‐off diaries. L STN, left subthalamic nucleus; LEDD, levodopa equivalent daily dose; Med, medications; R STN, right subthalamic nucleus; Stim: stimulation.
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References

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