Early-term results of deep brain stimulation in Parkinson's disease: a case report

Yıl 2019, Cilt: 44 Sayı: 4, 1499 - 1505, 29.12.2019

Özlem İbrahimoğlu Eda Akyol

Öz

Subthalamic nucleus deep brain stimulation (STN-DBS) is a alternative treatment in Parkinson's disease. The iam of this case report is to present a case with a positive  effect of  STN-DBS on early-term results in Parkinson's disease. A 45-year-old man who underwent STN-DBS surgery as a treatment method for Parkinson's Disease was presented. He was  assessed in preoperative and postoperative period. STN-DBS surgery reduced the clinical severity of Parkinson's disease, the patient walked a certain distance in a shorter period, increased number of motion repetitions at a certain time interval, and decreased anxiety and depression level.  In conclusion STN DBS surgery has a positive effect on physical functions in Parkinson's disease and it may be useful to perform follow-up study in order to evaluate changes in cognitive functions. 

Anahtar Kelimeler

Parkinson's Disease, Subthalamic Nucleus, Physical Function, Cognitive Function, Emotional Status

Parkinson hastalığında derin beyin stimülasyonunun erken dönem sonuçları: olgu sunumu

Öz

Subtalamik çekirdek derin beyin stimülasyonu (STN-DBS) Parkinson hastalığında alternatif bir tedavi yöntemidir. Bu çalışmanın amacı Parkinson hastalığında STN-DBS'nin erken dönem sonuçları üzerine etkisini bir olgu bağlamında incelemektir. Parkinson hastalığında bir tedavi yöntemi olarak STN-DBS cerrahisi geçiren 45 yaşında erkek hasta sunuldu. Olgu ameliyat öncesi ve sonrası olmak üzere iki kez değerlendirildi. STN-DBS cerrahisinin Parkinson hastasında Parkinson Hastalığının klinik şiddetini azalttığı, hastanın belirli mesafe arasını daha kısa sürede yürüdüğü, belirli zaman aralığında hareket tekrar sayısının arttığı, anksiyete ve depresyon düzeyinin azaldığı belirlendi. Sonuç olarak STN-DBS'in Parkinson hastalığında fiziksel fonksiyonlar üzerine olumlu etkisi belirlenmiş olup, kognitif fonksiyonlardaki değişikliklerin değerlendirilebilmesi için işlem sonrası izlem çalışmasının yapılması yararlı olabilir.

Anahtar Kelimeler

Parkinson Hastalığı, Subtalamik Çekirdek, Fiziksel Fonksiyon, Duygusal Durum, Bilişsel Fonksiyonlar

Kaynakça

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