Posterior occipitocervical instrumented fusion for dropped head syndrome after deep brain stimulation.
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.
Pereira
E A C
EA
Spinal Unit, Department of Orthopaedic Surgery, Nuffield Orthopaedic Centre, Oxford, UK. eacp@eacp.co.uk
Wilson-MacDonald
J
J
Green
A L
AL
Aziz
T Z
TZ
Cadoux-Hudson
T A D
TA
D000058:Accidental Falls; D001860:Bone Plates; D001863:Bone Screws; D002574:Cervical Vertebrae / Q000293:injuries / Q000601:surgery; D046690:Deep Brain Stimulation / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010300:Parkinson Disease / Q000503:physiopathology / Q000628:therapy*; D016103:Spinal Fractures / Q000601:surgery; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods*; D014103:Torticollis / Q000209:etiology / Q000601:surgery*