Highlights
- •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.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of the Neurological SciencesAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Deep brain stimulation: Subthalamic nucleus electrophysiological activity in awake and anesthetized patients.Clin. Neurophysiol. 2012; 123: 2406-2413
- Continuous perioperative apomorphine in deep brain stimulation surgery for Parkinson's disease.Br. J. Neurosurg. 2014; 28: 378-382
- Deep brain stimulation of the subthalamic nucleus for advanced Parkinson disease using general anesthesia: long-term results.J. Neurosurg. 2012; 116: 107-113
- Expert consensus group report on the use of apomorphine in the treatment of Parkinson's disease – clinical practice recommendations.Parkinsonism Relat. Disord. 2015; 21: 1023-1030
Article info
Publication history
Published online: May 03, 2017
Accepted:
April 28,
2017
Received in revised form:
April 19,
2017
Received:
March 17,
2017
Identification
Copyright
© 2017 Elsevier B.V. All rights reserved.
