A unique episode of REM sleep behavior disorder triggered during surgery for Parkinson's disease.
REM sleep behavior disorder (RBD) is characterized by vigorous movements during REM sleep. Here, the authors report the case of a patient who presented such a disorder immediately after the implantation of the definitive electrode for left subthalamic stimulation. Interestingly, this was and has remained a unique episode in his medical history. It was found that a microlesion in or near the upper part of the pars compacta of the substantia nigra was very likely responsible for this phenomenon.
Piette
Thierry
T
Department of Neurology, CHU of Charleroi, Belgium.
Mescola
Paolo
P
Uytdenhoef
Patrick
P
Henriet
Marc
M
Vanderkelen
Baudouin
B
Jacquy
Jean
J
Seeldrayers
Pierrette
P
Godaux
Emile
E
D046690:Deep Brain Stimulation / Q000009:adverse effects*; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D010300:Parkinson Disease / Q000473:pathology / Q000601:surgery* / Q000628:therapy*; D020187:REM Sleep Behavior Disorder / Q000209:etiology* / Q000473:pathology; D013378:Substantia Nigra / Q000473:pathology; D020531:Subthalamic Nucleus / Q000502:physiology