Severe agitation following deep brain stimulation for parkinsonism.
Identifieur interne : 001595 ( Main/Exploration ); précédent : 001594; suivant : 001596Severe agitation following deep brain stimulation for parkinsonism.
Auteurs : Nicholas G W. Rose [Canada] ; Michael Mostrenko ; Jacqueline Mcmaster ; Christopher R. HoneySource :
- CJEM [ 1481-8035 ] ; 2011.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Deep Brain Stimulation.
- diagnosis : Psychomotor Agitation.
- etiology : Psychomotor Agitation.
- therapy : Parkinsonian Disorders.
- Aged, Diagnosis, Differential, Humans, Male.
Abstract
The use of deep brain stimulation has become increasingly common for the treatment of movement disorders, including Parkinson disease. Although deep brain stimulation is generally very successful in alleviating the extrapyramidal symptoms of Parkinson disease, side effects can occur. This case report describes a patient presenting to the emergency department in a state of extreme aggression 3 days after a change in the parameters of his bilateral subthalamic nucleus stimulator. We review the complications of deep brain stimulation relevant to the emergency physician and provide some practical information on stimulator adjustment in an emergency.
PubMed: 21722545
Affiliations:
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Le document en format XML
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Rose</name><affiliation wicri:level="1"><nlm:affiliation>Department of Emergency Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada. nrose@interchange.ubc.ca</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Emergency Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, BC</wicri:regionArea><wicri:noRegion>BC</wicri:noRegion></affiliation></author><author><name sortKey="Mostrenko, Michael" sort="Mostrenko, Michael" uniqKey="Mostrenko M" first="Michael" last="Mostrenko">Michael Mostrenko</name></author><author><name sortKey="Mcmaster, Jacqueline" sort="Mcmaster, Jacqueline" uniqKey="Mcmaster J" first="Jacqueline" last="Mcmaster">Jacqueline Mcmaster</name></author><author><name sortKey="Honey, Christopher R" sort="Honey, Christopher R" uniqKey="Honey C" first="Christopher R" last="Honey">Christopher R. 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Rose</name><affiliation wicri:level="1"><nlm:affiliation>Department of Emergency Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada. nrose@interchange.ubc.ca</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Emergency Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, BC</wicri:regionArea><wicri:noRegion>BC</wicri:noRegion></affiliation></author><author><name sortKey="Mostrenko, Michael" sort="Mostrenko, Michael" uniqKey="Mostrenko M" first="Michael" last="Mostrenko">Michael Mostrenko</name></author><author><name sortKey="Mcmaster, Jacqueline" sort="Mcmaster, Jacqueline" uniqKey="Mcmaster J" first="Jacqueline" last="Mcmaster">Jacqueline Mcmaster</name></author><author><name sortKey="Honey, Christopher R" sort="Honey, Christopher R" uniqKey="Honey C" first="Christopher R" last="Honey">Christopher R. Honey</name></author></analytic><series><title level="j">CJEM</title><idno type="ISSN">1481-8035</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Deep Brain Stimulation (adverse effects)</term><term>Diagnosis, Differential</term><term>Humans</term><term>Male</term><term>Parkinsonian Disorders (therapy)</term><term>Psychomotor Agitation (diagnosis)</term><term>Psychomotor Agitation (etiology)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Psychomotor Agitation</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Psychomotor Agitation</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinsonian Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Diagnosis, Differential</term><term>Humans</term><term>Male</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The use of deep brain stimulation has become increasingly common for the treatment of movement disorders, including Parkinson disease. Although deep brain stimulation is generally very successful in alleviating the extrapyramidal symptoms of Parkinson disease, side effects can occur. This case report describes a patient presenting to the emergency department in a state of extreme aggression 3 days after a change in the parameters of his bilateral subthalamic nucleus stimulator. We review the complications of deep brain stimulation relevant to the emergency physician and provide some practical information on stimulator adjustment in an emergency.</div></front></TEI><affiliations><list><country><li>Canada</li></country></list><tree><noCountry><name sortKey="Honey, Christopher R" sort="Honey, Christopher R" uniqKey="Honey C" first="Christopher R" last="Honey">Christopher R. Honey</name><name sortKey="Mcmaster, Jacqueline" sort="Mcmaster, Jacqueline" uniqKey="Mcmaster J" first="Jacqueline" last="Mcmaster">Jacqueline Mcmaster</name><name sortKey="Mostrenko, Michael" sort="Mostrenko, Michael" uniqKey="Mostrenko M" first="Michael" last="Mostrenko">Michael Mostrenko</name></noCountry><country name="Canada"><noRegion><name sortKey="Rose, Nicholas G W" sort="Rose, Nicholas G W" uniqKey="Rose N" first="Nicholas G W" last="Rose">Nicholas G W. Rose</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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