The Effects of Deep Brain Stimulation in Patients with Multiple System Atrophy

Author:

Badihian Negin1,Jackson Lauren M.1,Klassen Bryan T.1,Hassan Anhar1,Low Phillip A.1,Singer Wolfgang1,Coon Elizabeth A.1

Affiliation:

1. Department of Neurology, Mayo Clinic, Rochester, MN, USA

Abstract

The course of patients with multiple system atrophy (MSA) who undergo deep brain stimulation (DBS) is unclear. In a retrospective review of 1,496 patients with MSA evaluated at our institutions from 1998–2021, 12 patients underwent DBS; 9 had a diagnosis of Parkinson’s disease at the time of surgery. Nine patients reported initial improvement in at least one symptom and 7 experienced overall worsening following DBS. All patients had at least one red flag sign or symptom suggesting atypical parkinsonism prior to surgery. Considering overall poor outcomes of DBS in MSA, we recommend careful consideration of red flags in patient selection.

Publisher

IOS Press

Subject

Cellular and Molecular Neuroscience,Neurology (clinical)

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