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帕金森病中的异动症-高热综合征可能从苍白球腹内侧核脑深部电刺激中获益:一例报告

Dyskinesia-Hyperpyrexia Syndrome in Parkinson's Disease May Benefit from GPi Deep Brain Stimulation: A Case Report.

作者信息

Huang Shi-Shi, Ma Lu-Lu, Sheng Han-Song, Liu Rong-Pei, Zhu Shi-Guo, Xu Shan-Shan, Sheng Mei-Ling, Chen Zhu-Ling, Zhang Nu, Zhang Xiong, Wang Jian-Yong

机构信息

Department of Neurology, Institute of Geriatric Neurology, the Second Affiliated Hospital and Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.

Department of Neurosurgery, the Second Affiliated Hospital and Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.

出版信息

Tremor Other Hyperkinet Mov (N Y). 2025 May 7;15:20. doi: 10.5334/tohm.912. eCollection 2025.

Abstract

BACKGROUND

Dyskinesia-hyperpyrexia syndrome (DHS) is a rare but life-threatening complication in Parkinson's disease (PD). Its prevention and treatment are clinical challenges.

CASE REPORT

We herein present a case of a female PD patient who experienced recurrent episodes of DHS and levodopa-induced dyskinesia. The complications were alleviated after bilateral globus pallidus internus (GPi) deep brain stimulation (DBS).

DISCUSSION

Our report provides evidence that GPi DBS may reduce the susceptibility to DHS. More evidences are warranted to validate this hypothesis.

摘要

背景

异动症-高热综合征(DHS)是帕金森病(PD)中一种罕见但危及生命的并发症。其预防和治疗是临床面临的挑战。

病例报告

我们在此报告一例女性帕金森病患者,该患者反复出现异动症-高热综合征发作及左旋多巴诱导的异动症。双侧内侧苍白球(GPi)脑深部电刺激(DBS)后,这些并发症得到缓解。

讨论

我们的报告提供了证据表明内侧苍白球脑深部电刺激可能降低异动症-高热综合征的易感性。需要更多证据来验证这一假设。

相似文献

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Globus pallidus stimulation in advanced Parkinson's disease.晚期帕金森病中的苍白球刺激术。
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Deep brain stimulation for the treatment of Parkinson's disease.深部脑刺激治疗帕金森病。
J Clin Neurophysiol. 2004 Jan-Feb;21(1):6-17. doi: 10.1097/00004691-200401000-00003.

本文引用的文献

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Emergencies and critical issues in Parkinson's disease.帕金森病的紧急情况与关键问题
Pract Neurol. 2020 Feb;20(1):15-25. doi: 10.1136/practneurol-2018-002075. Epub 2019 Aug 19.
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Dyskinesia-hyperpyrexia syndrome: another Parkinson's disease emergency.
Mov Disord. 2010 Nov 15;25(15):2691-2. doi: 10.1002/mds.23255.

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