Description of Event or Problem · 1
LITERATURE: VAN NUENEN BK, ESSELINK RA, MUNNEKE M, SPEELMAN JD, VA LAAR T, BLOEM BR. POSTOPERATIVE GAIT DETERIORATION AFTER BILATERAL SUBTHALAMIC NUCLEUS STIMULATION IN PARKINSON'S DISEASE. MOV DISORD. 2008; 23(16): 2404-2406. SUMMARY: THE AIM OF THIS STUDY WAS TO EVALUATE THE EFFECTS OF SUBTHALAMIC NUCLEUS (STN) STIMULATION ON GAIT RELATIVE TO GLOBAL OUTCOME IN A GROUP OF CONSECUTIVELY OPERATED PTS WHO HAD RECEIVED STN STIMULATION BETWEEN 2001 AND 2004 IN TWO MAJOR NEUROSURGICAL CENTERS. ALL PTS HAD THE CLINICAL DIAGNOSIS OF PARKINSON'S DISEASE. A QUESTIONAIRE WAS SENT TO A TOTAL CONSECUTIVE PTS. A DELAYED WORSENING OF GAIT AFTER BILATERAL STN STIMULATION WAS EXPERIENCED BY A CONSIDERABLE PROPORTION OF PTS (42% OF SUBJECTS, FOR GAIT IN THE OFF PHASE), AND THIS WAS APPARENTLY RELATIVELY SELECTIVE BECAUSE THEIR GLOBAL OUTCOME SCORES CONTINUED TO BE IMPROVED. THESE FINDINGS HIGHLIGHT THE PRESENCE OF A HITHERTO POORLY RECOGNIZED LONG-TERM COMPLICATION OF BILATERAL STN STIMULATION. EVENT: ONE PT DIED. THE CAUSE WAS UNK AT THE TIME OF THIS REPORT AND F/U HAS BEEN INITIATED.