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Rescue GPi-DBS for a Stroke Associated Hemiballism in a Patient with STN-DBS

Maling, Nicholas; Oyama, Genko; Avila-Thompson, Amanda; Zeilman, Pam R.; Foote, Kelly D.; Malaty, Irene A.; Rodriguez, Ramon L.; Okun, Michael S.

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.

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Title
Tremor and Other Hyperkinetic Movements
DOI
https://doi.org/10.7916/D8XP72WF

More About This Work

Academic Units
Center for Parkinson's Disease and Other Movement Disorders
Published Here
February 7, 2014