Posterior occipitocervical instrumented fusion for dropped head syndrome after deep brain stimulation

Abstract We describe dropped head syndrome in a patient with Parkinson’s disease receiving subthalamic nucleus deep brain stimulation (DBS). Posterior occipitocervical instrumented fusion after transarticular screw fixation of an odontoid fracture is shown and its rationale explained. Pedunculoponti...

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Veröffentlicht in:	Journal of clinical neuroscience 2010-04, Vol.17 (4), p.541-542
Hauptverfasser:	Pereira, E.A.C, Wilson-MacDonald, J, Green, A.L, Aziz, T.Z, Cadoux-Hudson, T.A.D
Format:	Artikel
Sprache:	eng
Schlagworte:	Accidental Falls Bone Plates Bone Screws Cervical spine Cervical Vertebrae - injuries Cervical Vertebrae - surgery Deep brain stimulation Deep Brain Stimulation - methods Female Humans Middle Aged Neurology Occipitocervical fusion Parkinson Disease - physiopathology Parkinson Disease - therapy Parkinson’s disease Pedunculopontine nucleus Spinal Fractures - surgery Spinal Fusion - instrumentation Spinal Fusion - methods Torticollis - etiology Torticollis - surgery Transarticular screw
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Zusammenfassung:	Abstract We describe dropped head syndrome in a patient with Parkinson’s disease receiving subthalamic nucleus deep brain stimulation (DBS). Posterior occipitocervical instrumented fusion after transarticular screw fixation of an odontoid fracture is shown and its rationale explained. Pedunculopontine nucleus DBS as treatment for fall-predominant Parkinson’s disease, and globus pallidus interna DBS for dystonia-predominant Parkinson’s disease, are discussed.
ISSN:	0967-5868 1532-2653
DOI:	10.1016/j.jocn.2009.07.114