Camptocormia treated with bilateral pallidal stimulation: case report.

The authors report the neurological, neurophysiological, and neuropsychological effects of using chronic bilateral pallidal high-frequency deep brain stimulation (DBS) in a case of disabling camptocormia. Deep brain stimulation electrodes were implanted stereotactically to target the globus pallidus...

Full description

Bibliographic Details
Main Authors: Nandi, D, Parkin, S, Scott, R, Winter, J, Joint, C, Gregory, R, Stein, J, Aziz, T
Format: Journal article
Language:English
Published: 2002
_version_ 1826292874374807552
author Nandi, D
Parkin, S
Scott, R
Winter, J
Joint, C
Gregory, R
Stein, J
Aziz, T
author_facet Nandi, D
Parkin, S
Scott, R
Winter, J
Joint, C
Gregory, R
Stein, J
Aziz, T
author_sort Nandi, D
collection OXFORD
description The authors report the neurological, neurophysiological, and neuropsychological effects of using chronic bilateral pallidal high-frequency deep brain stimulation (DBS) in a case of disabling camptocormia. Deep brain stimulation electrodes were implanted stereotactically to target the globus pallidus internus (GPi) bilaterally. Local field potentials (FPs) were recorded using the DBS electrodes and concurrent abdominal flexor electromyography (EMG) potentials during camptocormic episodes. Videotaped assessments of the movement disorder and neuropsychological evaluation before implantation and at 6 months after initiation of pallidal stimulation were recorded. There was significant functional improvement following chronic pallidal stimulation, and some improvement was noted in neuropsychological scores. The GPi FPs showed temporal correlation with EMG-recorded rectus abdominis potentials. There were no treatment-related adverse effects. The authors have found that chronic pallidal stimulation was safe and offered functional benefit in this severely disabling condition. The physiological studies may help further the understanding of the pathophysiology of this rare entity.
first_indexed 2024-03-07T03:21:25Z
format Journal article
id oxford-uuid:b7906291-c9a1-466a-b081-688e6f5fa10b
institution University of Oxford
language English
last_indexed 2024-03-07T03:21:25Z
publishDate 2002
record_format dspace
spelling oxford-uuid:b7906291-c9a1-466a-b081-688e6f5fa10b2022-03-27T04:49:35ZCamptocormia treated with bilateral pallidal stimulation: case report.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b7906291-c9a1-466a-b081-688e6f5fa10bEnglishSymplectic Elements at Oxford2002Nandi, DParkin, SScott, RWinter, JJoint, CGregory, RStein, JAziz, TThe authors report the neurological, neurophysiological, and neuropsychological effects of using chronic bilateral pallidal high-frequency deep brain stimulation (DBS) in a case of disabling camptocormia. Deep brain stimulation electrodes were implanted stereotactically to target the globus pallidus internus (GPi) bilaterally. Local field potentials (FPs) were recorded using the DBS electrodes and concurrent abdominal flexor electromyography (EMG) potentials during camptocormic episodes. Videotaped assessments of the movement disorder and neuropsychological evaluation before implantation and at 6 months after initiation of pallidal stimulation were recorded. There was significant functional improvement following chronic pallidal stimulation, and some improvement was noted in neuropsychological scores. The GPi FPs showed temporal correlation with EMG-recorded rectus abdominis potentials. There were no treatment-related adverse effects. The authors have found that chronic pallidal stimulation was safe and offered functional benefit in this severely disabling condition. The physiological studies may help further the understanding of the pathophysiology of this rare entity.
spellingShingle Nandi, D
Parkin, S
Scott, R
Winter, J
Joint, C
Gregory, R
Stein, J
Aziz, T
Camptocormia treated with bilateral pallidal stimulation: case report.
title Camptocormia treated with bilateral pallidal stimulation: case report.
title_full Camptocormia treated with bilateral pallidal stimulation: case report.
title_fullStr Camptocormia treated with bilateral pallidal stimulation: case report.
title_full_unstemmed Camptocormia treated with bilateral pallidal stimulation: case report.
title_short Camptocormia treated with bilateral pallidal stimulation: case report.
title_sort camptocormia treated with bilateral pallidal stimulation case report
work_keys_str_mv AT nandid camptocormiatreatedwithbilateralpallidalstimulationcasereport
AT parkins camptocormiatreatedwithbilateralpallidalstimulationcasereport
AT scottr camptocormiatreatedwithbilateralpallidalstimulationcasereport
AT winterj camptocormiatreatedwithbilateralpallidalstimulationcasereport
AT jointc camptocormiatreatedwithbilateralpallidalstimulationcasereport
AT gregoryr camptocormiatreatedwithbilateralpallidalstimulationcasereport
AT steinj camptocormiatreatedwithbilateralpallidalstimulationcasereport
AT azizt camptocormiatreatedwithbilateralpallidalstimulationcasereport