title: Severe agitation following deep brain stimulation for parkinsonism.
abstract: The use of deep brain stimulation has become increasingly common for the treatment of movement disorders, including Parkinson disease. Although deep brain stimulation is generally very successful in alleviating the extrapyramidal symptoms of Parkinson disease, side effects can occur. This case report describes a patient presenting to the emergency department in a state of extreme aggression 3 days after a change in the parameters of his bilateral subthalamic nucleus stimulator. We review the complications of deep brain stimulation relevant to the emergency physician and provide some practical information on stimulator adjustment in an emergency.
authors: Department of Emergency Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada. nrose@interchange.ubc.ca
authors: Nicholas G W
authors: NG
authors: Rose
authors: Michael
authors: M
authors: Mostrenko
authors: Jacqueline
authors: J
authors: McMaster
authors: Christopher R
authors: CR
authors: Honey
mesh_terms: D000368:Aged; D046690:Deep Brain Stimulation / Q000009:adverse effects*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D020734:Parkinsonian Disorders / Q000628:therapy*; D011595:Psychomotor Agitation / Q000175:diagnosis / Q000209:etiology*