Deep brain stimulation for Parkinson's disease: Subcutaneous apomorphine as an alternative for patients unable to tolerate surgery under local anesthesia

- Usually DBS surgery for PD is performed with the patient awake and deprived of medication.
- We report a patient with severe dystonic features treated with apomorphine in the perioperative setting.
- Apomorphine does not interfere with microelecrode recording or with the evaluation of the motor benefit of the stimulation.
- Subcutaneous apomorphine can be an alternative for patients unable to tolerate surgery under local anesthesia.
- This is, to the best of our knowledge, the first case report of apomorphine use with this purpose.