prikaz prve stranice dokumenta Outcome of deep brain stimulation in Parkinson’s disease in an elderly patient – case report
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Outcome of deep brain stimulation in Parkinson’s disease in an elderly patient – case report
Medicina Fluminensis, 57 (2021), 2; 204-208. https://doi.org/10.21860/medflum2021_371653
Hero, Mario; Vuletić, Vladimira

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Hero, M. & Vuletić, V. (2021). Outcome of deep brain stimulation in Parkinson’s disease in an elderly patient – case report. Medicina Fluminensis, 57. (2), 204-208. doi: 10.21860/medflum2021_371653

Hero, Mario and Vladimira Vuletić. "Outcome of deep brain stimulation in Parkinson’s disease in an elderly patient – case report." Medicina Fluminensis, vol. 57, no. 2, 2021, pp. 204-208. https://doi.org/10.21860/medflum2021_371653

Hero, Mario and Vladimira Vuletić. "Outcome of deep brain stimulation in Parkinson’s disease in an elderly patient – case report." Medicina Fluminensis 57, no. 2 (2021): 204-208. https://doi.org/10.21860/medflum2021_371653

Hero, M. and Vuletić, V. (2021) 'Outcome of deep brain stimulation in Parkinson’s disease in an elderly patient – case report', Medicina Fluminensis, 57(2), pp. 204-208. doi: 10.21860/medflum2021_371653

Hero M, Vuletić V. Outcome of deep brain stimulation in Parkinson’s disease in an elderly patient – case report. Medicina Fluminensis [Internet]. 2021 [cited 2024 November 16];57(2):204-208. doi: 10.21860/medflum2021_371653

M. Hero and V. Vuletić, "Outcome of deep brain stimulation in Parkinson’s disease in an elderly patient – case report", Medicina Fluminensis, vol. 57, no. 2, pp. 204-208, 2021. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:406182. [Accessed: 16 November 2024]

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Metadata
Title (english)Outcome of deep brain stimulation in Parkinson’s disease in an elderly patient – case report
Title (croatian)Ishod duboke moždane stimulacije kod Parkinsonove bolesti u pacijentice starije životne dobi – prikaz slučaja
AuthorMario Hero
AuthorVladimira Vuletić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Neurology)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract (croatian)
Sažetak. Cilj: Prikazati ishod duboke moždane stimulacije (engl. Deep brain stimulation, DBS), tijekom vremenskog razdoblja od 2,5 godine, u sedamdeset osmogodišnje pacijentice koja boluje od Parkinsonove bolesti (PB) rezistentne na lijekove. Prikaz slučaja: Prikazujemo slučaj pacijentice u dobi od 74 godine koja je bila zainteresirana za DBS zbog PB-a rezistentnog na lijekove. Bolest se manifestirala u obliku tremora lijeve ruke i noge te je uvelike narušavala njezinu kvalitetu života. U dobi od 75 godina ugrađen joj je DBS u suptalamičke jezgre (engl. subthalamic nucleus, STN) obostrano. Na prvom poslijeoperacijskom kontrolnom pregledu ustanovljeno je da nakon stimulacije gotovo nije bilo tremora i govor je bio uredan. Stimulacije elektroda bile su postavljene desno (D 0- 2.1 V 90 μs 130 Hz) i lijevo (L 8- 0.8 V 90 μs 130 Hz). Tijekom 2,5 godine pacijentica je redovito kontrolirana i stimulacija elektroda bila je izmijenjena u dva navrata. Na zadnjem kontrolnom pregledu navela je da je nesmetano obavljala svakodnevne aktivnosti te se čak i bavila pletenjem, što prije nije mogla. Također, pacijentica je bila dobro kognitivno očuvana. Razina stimulacije elektroda iznosila je desno – D 0- 2.4 V 90 μs 130 Hz i lijevo – L 8- 1.0 V 90 μs 130 Hz. Zaključak: Kod pažljivo odabranih kandidata, koji duže godina boluju od PB-a rezistentnog na medikamentoznu terapiju, dob iznad 70 godina ne bi trebala predstavljati kontraindikaciju za DBS STN. Prikazani slučaj pokazuje da DBS STN može biti koristan u smanjenju simptoma i time značajno poboljšati kvalitetu života takvih pacijenata
Abstract (english)
Abstract. Aim: To present the outcome of deep brain stimulation (DBS) through a time period of 2.5 years, in a seventy-eight-year-old female suffering from drug-resistant Parkinson’s disease (PD). Case report: We present the case of a 74-year-old patient who was interested in DBS due to drug-resistant PD. The disease manifested itself in the form of tremor of the left arm and leg and greatly impaired her quality of life. At the age of 75, she was embedded with DBS in the subthalamic nuclei (STN) bilaterally. At the first postoperative check-up, it was found that there was almost no tremor after stimulation and the speech was orderly. Electrode stimulations were placed on the right (D 0- 2.1 V 90 μs 130 Hz) and on the left (L 8- 0.8 V 90 μs 130 Hz). Over a period of 2.5 years, the patient was regularly monitored and electrode stimulation was changed twice. At the last check-up, she stated that she performed her daily activities without hindrance and in her free time she was even knitting, what she couldn’t do before. Also, the patient was well cognitively preserved. The level of electrode stimulation was right (D 0– 2.4 V 90 μs 130 Hz) and left (L 8- 1.0 V 90 μs 130 Hz). Conclusion: In carefully selected candidates, who have been suffering from drug-resistant PD for many years, age over 70 years should not be a contraindication for DBS STN. The presented case shows that DBS STN can be useful in reducing symptoms and thus significantly improve the quality of life in such patients.
Keywords (croatian)
Keywords (english)
Languagecroatian
Publication typeProfessional paper - Other
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina Fluminensis
Numberingvol. 57, no. 2, pp. 204-208
p-ISSN1847-6864
e-ISSN1848-820X
DOIhttps://doi.org/10.21860/medflum2021_371653
URN:NBNurn:nbn:hr:184:406182
Publication2021
Document URLhttps://hrcak.srce.hr/255662
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2021-06-01 06:31:33