Rescue GPi-DBS for a Stroke-associated Hemiballism in a Patient with STN-DBS. (4th February 2014)

• Record Type: Journal Article
• Authors: Oyama, Genko; Maling, Nicholas; Avila-Thompson, Amanda; Zeilman, Pam R.; Foote, Kelly D.; Malaty, Irene A.; Rodriguez, Ramon L.; Okun, Michael S.
• Editors: Louis, Elan D.
• Is Part Of: Tremor and other hyperkinetic movements. Volume 4(2014)
• Publication Date: 2014-02-04
• Subjects: Globus pallidus internus -- subthalamic nucleus -- deep brain stimulation -- hemiballism -- stroke; Tremor -- Periodicals; Hyperkinesia -- Periodicals; 616.8
• DOI: 10.7916/D8XP72WF
• Languages: English
• ISSNs: 2160-8288

Abstract

Background: Hemiballism/hemichorea commonly occurs as a result of a lesion in the subthalamic region. Case Report: A 38-year-old male with Parkinson's disease developed intractable hemiballism in his left extremities due to a small lesion that was located adjacent to the right deep brain stimulation (DBS) lead, 10 months after bilateral subthalamic nucleus (STN)-DBS placement. He underwent a right globus pallidus internus (GPi)-DBS lead implantation. GPi-DBS satisfactorily addressed his hemiballism. Discussion: This case offered a unique look at basal ganglia physiology in human hemiballism. GPi-DBS is a reasonable therapeutic option for the treatment of medication refractory hemiballism in the setting of Parkinson's disease.