|کد مقاله||کد نشریه||سال انتشار||مقاله انگلیسی||ترجمه فارسی||نسخه تمام متن|
|3057707||1580211||2016||3 صفحه PDF||سفارش دهید||دانلود کنید|
• Pneumonia secondary to airway protective deficits is a leading cause of death in PD.
• There is limited research regarding the impact of DBS surgery on airway protection.
• Optimizing DBS settings in a PD patient resulted in improved airway protection.
• It is important to consider the impact of DBS settings on airway protection in PD.
There is no consensus regarding the effects of deep brain stimulation (DBS) surgery on swallowing outcomes in Parkinson's disease (PD). No prospective studies have compared airway protective outcomes following DBS to the subthalamic nucleus (STN) versus globus pallidus interna (GPi). A recent retrospective study described swallowing outcomes pre- and post-STN vs. GPi DBS in a cohort of 34 patients with PD. The results revealed that the patients who received GPi DBS maintained their swallowing function post-DBS, while those in the STN group significantly worsened in swallowing safety. As DBS surgery becomes a common management option in PD it is important to understand the impact of DBS on airway protective outcomes; especially given that aspiration pneumonia is the leading cause of death in this population. We present a case report in which optimizing DBS settings with the goal of improving laryngeal function resulted in immediate improvements to swallowing safety.
Journal: Interdisciplinary Neurosurgery - Volume 5, September 2016, Pages 3–5