Spinal Unit, Department of Orthopaedic Surgery, Nuffield Orthopaedic Centre, Oxford, UK.
J Clin Neurosci. 2010 Apr;17(4):541-2. doi: 10.1016/j.jocn.2009.07.114. Epub 2010 Feb 18.
We describe dropped head syndrome in a patient with Parkinson's disease receiving subthalamic nucleus deep brain stimulation (DBS). Posterior occipitocervical instrumented fusion after transarticular screw fixation of an odontoid fracture is shown and its rationale explained. Pedunculopontine nucleus DBS as treatment for fall-predominant Parkinson's disease, and globus pallidus interna DBS for dystonia-predominant Parkinson's disease, are discussed.
我们描述了一位接受丘脑底核深部脑刺激(DBS)治疗的帕金森病患者出现垂头综合征。展示了经关节螺钉固定齿状突骨折后后路枕颈融合的影像学资料,并解释了其适应证。讨论了苍白球内侧部 DBS 治疗以跌倒为主的帕金森病和丘脑底核 DBS 治疗以震颤为主的帕金森病。