Deep brain stimulation for Parkinson's disease prior to L-dopa treatment: A case report
نویسندگان
چکیده
BACKGROUND Leva-dopa (L-dopa) is the gold-standard treatment for Parkinson's disease (PD). Deep brain stimulation is generally reserved for patients who become refractory to l-dopa treatment. CASE DESCRIPTION We present a male patient with a 9-year course of PD who at 53 years of age preferred deep brain stimulation (DBS) of the subthalamic nucleus over initial l-dopa treatment. The patient argued that he wanted to avoid the serious adverse effects of l-dopa, which would have presented within his time of full professional activity. DBS resulted in significant motor improvement lasting for 6 years without l-dopa treatment. CONCLUSION Large multicentre-based international trials with long follow-ups are needed to answer the effectiveness of early DBS in PD.
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عنوان ژورنال:
دوره 7 شماره
صفحات -
تاریخ انتشار 2016