Relevant disclosures and conflicts of interest are listed at the end of this article.
Posthemorrhagic Hemiparkinsonism Treated by Unilateral Pallidal Stimulation
Article first published online: 19 MAY 2014
© 2014 International Parkinson and Movement Disorder Society
Movement Disorders Clinical Practice
Volume 1, Issue 2, pages 139–141, June 2014
How to Cite
Martínez-Simón, J., Sáez-Zea, C., Katati, M. J., Escamilla-Sevilla, F. and Mínguez-Castellanos, A. (2014), Posthemorrhagic Hemiparkinsonism Treated by Unilateral Pallidal Stimulation. Movmnt Disords Clncl Practice, 1: 139–141. doi: 10.1002/mdc3.12024
- Issue published online: 5 JUN 2014
- Article first published online: 19 MAY 2014
- Manuscript Accepted: 25 MAR 2014
- Manuscript Revised: 13 FEB 2014
- Manuscript Received: 20 DEC 2013
- Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED)
- Fundación para la Investigación Biosanitaria de Andalucía Oriental Alejandro Otero (FIBAO)
- Medtronic Ibérica S.A.
- Merz Pharma España
A video accompanying this article is available in the supporting information here.
Video. Segment 1: Examination on admission in off- and on-medication states. In the off state, the patient exhibited rest/postural tremor, rigidity, and brady-/hypokinesia of the left limbs, greater in the arm, with no axial signs. A hemiparkinsonian gait, with no arm swinging, was accompanied by a limp (from a slight shortening of his left leg after hip replacement 2 years earlier). In the on state, all parkinsonian symptoms improved, but severe choreodystonic dyskinesia appeared in the left limbs. Segment 2: Examination during surgery in the off-medication state: (1) off-stimulation; (2) on-stimulation; and (3) reappearance of parkinsonian symptoms within ~15 seconds after switching-off stimulation. Segment 3: Examination 2 years after surgery (medication withdrawal; on-stimulation).
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