Author:
Coenen Volker A.,Schlaepfer Thomas E.,Meyer Dora,Kilian Hannah,Spanier Susanne,Sajonz Bastian E. A.,Reinacher Peter C.,Reisert Marco
Abstract
Abstract
Here we describe therapeutic results in a female patient who underwent bilateral slMFB DBS for OCD. During a 35-month long course of stimulation, she suffered from stimulation-induced dyskinesia of her right leg which we interpreted as co-stimulation of the adjacent anteromedial subthalamic nucleus (amSTN). After reprogramming to steer the stimulation away from the amSTN medial into the direction of the mesencephalic ventral tegmentum (MVT which contains the ventral tegmental area, VTA), the dyskinesias disappeared. Remarkably, anti-OCD efficacy in the presented patient was preserved and achieved with a bilateral stimulation which by our imaging study fully avoided the amSTN.
Funder
Albert-Ludwigs-Universität Freiburg im Breisgau
Publisher
Springer Science and Business Media LLC
Subject
Neurology (clinical),Surgery
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