title: Long-term benefit of bilateral subthalamic deep brain stimulation on camptocormia in Parkinson's disease.
abstract: We report the case of a 63-year-old female with a long history of severe     Parkinson's disease (PD) and subsequent onset of debilitating camptocormia who     underwent successful bilateral subthalamic nucleus deep brain stimulation     surgery (STN DBS). The literature and previous reports are reviewed. The patient     history and details of the surgical procedure are reported including the     implantable pulse generator (IPG) settings and response to stimulation. The     results of her PD symptom and camptocormia improvements are discussed. Five year     postoperatively, the patient has enjoyed good results for both her PD symptoms     as well as significant and sustained improvement in her thoracolumbar flexion     deformity. She remains on minimal medications and no longer requires any     assistive devices for ambulation. Comparison and contrast of the current world     literature on DBS for camptocormia is reviewed. We discuss the current targets     used for DBS in the setting of camptocormia in the cases reported, both PD     associated and not associated. The optimal target has yet to be defined and     further work on appropriate patient selection is needed.
authors: Mayo Clinic Arizona, Department of Neurological Surgery, Phoenix/AZ, USA. lyons.mark2@mayo.edu
authors: Mark
authors: M
authors: Lyons
authors: Orland
authors: O
authors: Boucher
authors: Naresh
authors: N
authors: Patel
authors: Barry
authors: B
authors: Birch
authors: Virgilio
authors: V
authors: Evidente
mesh_terms: D046690:Deep Brain Stimulation / Q000379:methods*; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D008875:Middle Aged; D009134:Muscular Atrophy, Spinal / Q000209:etiology* / Q000628:therapy*; D019635:Neurosurgical Procedures; D010300:Parkinson Disease / Q000150:complications* / Q000628:therapy*; D013121:Spinal Curvatures / Q000209:etiology* / Q000628:therapy*; D013238:Stereotaxic Techniques; D020531:Subthalamic Nucleus / Q000502:physiology*; D016896:Treatment Outcome