Neurological Rehabilitation Center Godeshoehe, Waldstrasse 2-10, 53177, Bonn, Germany.
J Neural Transm (Vienna). 2011 Sep;118(9):1345-8. doi: 10.1007/s00702-011-0608-7. Epub 2011 Feb 27.
In the selection of Parkinson patients for deep brain stimulation (DBS) of the subthalamic nucleus (STN) a risk-benefit-analysis is performed regarding symptoms that commonly improve and symptoms that may deteriorate. Speech is among the symptoms that may deteriorate. In contrast, the differential effects of STN-DBS on swallowing are less clear. Here, we present a Parkinson patient with dysphagia from concomitant oculo-pharyngeal muscle dystrophy successfully treated by STN-DBS. The role of dysphagia in evaluating Parkinson patients for STN-DBS is discussed.
在选择帕金森病患者进行深部脑刺激（DBS）治疗丘脑底核（STN）时，需要对常见改善的症状和可能恶化的症状进行风险效益分析。言语是可能恶化的症状之一。相比之下，STN-DBS 对吞咽的影响差异尚不明确。本文报道了 1 例因眼咽肌营养不良而伴发吞咽困难的帕金森病患者，通过 STN-DBS 治疗后吞咽困难得到改善。本文讨论了吞咽困难在评估帕金森病患者行 STN-DBS 治疗中的作用。
