Predictors of effective bilateral subthalamic nucleus stimulation for PD

Neurology. 2002 Sep 24;59(6):932-4. doi: 10.1212/wnl.59.6.932.

Abstract

To identify factors predictive of effective bilateral subthalamic nucleus (STN) stimulation for PD with severe motor complications, pre- and postoperative Unified PD Rating Scale (UPDRS) scores were analyzed in a series of 54 patients who received bilateral STN stimulation. Younger age and levodopa responsiveness predict a favorable response to bilateral STN stimulation. For individual PD symptoms, those that improve with a suprathreshold dose levodopa challenge are likely to improve with stimulation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Electric Stimulation Therapy / methods
  • Electric Stimulation Therapy / statistics & numerical data*
  • Female
  • Humans
  • Levodopa / therapeutic use
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Parkinson Disease / drug therapy
  • Parkinson Disease / physiopathology
  • Parkinson Disease / surgery*
  • Preoperative Care / statistics & numerical data
  • Regression Analysis
  • Statistics, Nonparametric
  • Subthalamic Nucleus / surgery*

Substances

  • Levodopa