Management of advanced parkinsons disease with spinal cord stimulation
Download
1 / 8

Management of Advanced Parkinsons Disease With Spinal Cord Stimulation - PowerPoint PPT Presentation


  • 82 Views
  • Uploaded on

Management of Advanced Parkinsons Disease With Spinal Cord Stimulation. Alexander E. Yakovlev MD Sergey A. Karasev MD Beth E. Resch APNP Comprehensive Pain Management of The Fox Valley SC, Appleton, WI. Case Report. 76 year old man

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Management of Advanced Parkinsons Disease With Spinal Cord Stimulation ' - borna


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Management of advanced parkinsons disease with spinal cord stimulation

Management of Advanced Parkinsons Disease With Spinal Cord Stimulation

Alexander E. Yakovlev MD

Sergey A. Karasev MD

Beth E. Resch APNP

Comprehensive Pain Management of

The Fox Valley SC, Appleton, WI


Case report
Case Stimulation Report

  • 76 year old man

  • 10 year history of PD with intractable dyskinesias in upper extremities

  • Declined DBS



Two 8 electrode epidural leads restoreultra generator medtronic inc
Two 8-electrode Epidural Leads Stimulation RestoreULTRA Generator (Medtronic Inc.)


Stimulator parameters
Stimulator Parameters: Stimulation

  • Pulse width 210 microseconds

  • Frequency 20 Hz

  • Amplitude use ranged from 0.5-0.6 volts at sub-threshold level

  • Electrode polarities:

    First lead 0(off) 1(+) 2(-) 3(+) 4 (-) 5(+) 6(off) 7(off)

    Second lead 8(off) 9(off) 10(+) 11(-) 12(+) 13(-) 14(+) 15(0ff)


Results
Results: Stimulation

  • Sustained control of dyskinesias and dystonia

  • Unified Parkinson’s disease rating scale (UPDRS)III

    motor score was reduced from 33 to 12

  • Stimulation conducted continuously, for 24 hr per day

  • Improved functional status

  • Return to social activities, improved family relationships

  • No complications or side effects



Conclusions
Conclusions: Stimulation

  • Effective option for patients with advanced Parkinson disease

  • Potential alternative to pharmacological treatment

  • Consider for patients who defer surgical treatment including DBS

  • The therapy is reversible

  • Excellent option for patients with co-morbidities


ad