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DBS Cases

DBS Cases. Punit Agrawal, DO Movement Disorder Division Department of Neurology The Ohio State University. Case 1.

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DBS Cases

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  1. DBS Cases Punit Agrawal, DO Movement Disorder Division Department of Neurology The Ohio State University

  2. Case 1 • 71 y.o. gentleman with PD medication refractory tremor presents 3 months post-op for reassessing his left STN DBS. He reports speech problems and is not certain if this is worse since an increase is DBS stimulation 8 weeks ago.

  3. Case 2 • 50 y.o. gentleman with ET for 12 years and has had good benefits from bilateral STN DBS for 5 years. He complains of 1 month of transient 5 seconds burst of severe numbness in his left arm, and that he can illicit this by turning his head to the left. He has also had increased periodic of tremor for 2 months, and he can increase his tremor with head turn left as well.

  4. Xrays • lead extension fracture.

  5. Case 3 • 65 y.o with PD reporting increased trouble walking. She has had bilateral STN DBS placed 5 years ago that has helped improve on time and lessen dyskinesia. She complains of continued increased trouble getting up and walking.

  6. DBS assessment with stimulators off and on did show similar continued improvement. • Review of pre-operative levodopa challenge showed minimal improvement in getting up from a chair and walking. • DBS expectations and goals of improving motor fluctuations were reviewed with her with again emphasizing that this therapy is often of minimal help for gait and non-levodopa responsive symptoms. • She has been referred for therapy

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