Description of Event or Problem · 1
LITERATURE: FARRIS SM, GIROUX ML. GAIT CHANGES AFTER DEEP BRAIN STIMULATION FOR PARKINSON'S DISEASE IN A PT WITH CERVICAL MYELOPATHY. NEUROREHABILITATION. 2008;23(3):263-265. WE PRESENT A MALE PT WITH SIGNIFICANT GAIT PROBLEMS DUE TO PARKINSON'S DISEASE WHO UNDERWENT STN DBS. GAIT WORSENED AFTER SURGERY DESPITE SIGNIFICANT IMPROVEMENTS IN PARKINSONIAN SIGNS, DUE TO UNDERLYING SPASTICITY PREVIOUSLY OVERSHADOWED BY HIS PARKINSONIAN MOTOR SYMPTOMS. THIS CASE ILLUSTRATES AN EMERGENCE OF DYSFUNCTION IN GAIT IN A PT WITH OTHERWISE IMPROVED FUNCTION AND REINFORCES THE NEED FOR AN INTERDISCIPLINARY APPROACH TO THE CARE OF THESE PTS. REPORTABLE EVENT: ONE MONTH AFTER IMPLANT THE PT HAD MODERATE TO SEVERE BRADYKINESIA, REST TREMOR AND RIGIDITY, POSTURAL INSTABILITY AND GAIT WORSENING WITH FALLS. EIGHT MONTHS LATER AFTER 6 MONTHS OF EXTENSIVE PHYSICAL THERAPY HIS GAIT AND BALANCE SIGNIFICANTLY IMPROVED; HE WAS ABLE TO WALK WITHOUT A AMBULATORY AID.