RT Journal Article
SR Electronic
T1 Subthalamic nucleus stimulation in Parkinson’s disease is associated with a risk of fixed epiglottis
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr0820080706
DO 10.1136/bcr.08.2008.0706
VO 2009
A1 H Kataoka
A1 Maya Yanase
A1 Makoto Kawahara
A1 Hidehiro Hirabayashi
A1 Toshiaki Yamanaka
A1 Makito Hirano
A1 Satoshi Ueno
YR 2009
UL http://casereports.bmj.com/content/2009/bcr.08.2008.0706.abstract
AB Deep brain stimulation (DBS) of the subthalamic nucleus (STN) alleviates motor disability of patients with Parkinson’s disease (PD). Mental changes and other adverse events are common, but typically transient. Severe complications such as intracerebral haemorrhage or infection are rare, but 6 of 73 patients who underwent STN-DBS died of pneumonia, cardiac failure or pulmonary embolism. We describe a patient with PD who had sudden respiratory difficulty due to a fixed epiglottis after STN-DBS. This symptom was confirmed to be related to STN stimulation on fibre-optic examination of the larynx.