Posterior occipitocervical instrumented fusion for dropped head syndrome after deep brain stimulation

E A C Pereira; J Wilson-MacDonald; A L Green; T Z Aziz; T A D Cadoux-Hudson

doi:10.1016/j.jocn.2009.07.114

Posterior occipitocervical instrumented fusion for dropped head syndrome after deep brain stimulation

J Clin Neurosci. 2010 Apr;17(4):541-2. doi: 10.1016/j.jocn.2009.07.114. Epub 2010 Feb 18.

Authors

E A C Pereira¹, J Wilson-MacDonald, A L Green, T Z Aziz, T A D Cadoux-Hudson

Affiliation

¹ Spinal Unit, Department of Orthopaedic Surgery, Nuffield Orthopaedic Centre, Oxford, UK. eacp@eacp.co.uk

PMID: 20167499
DOI: 10.1016/j.jocn.2009.07.114

Abstract

We describe dropped head syndrome in a patient with Parkinson's disease receiving subthalamic nucleus deep brain stimulation (DBS). Posterior occipitocervical instrumented fusion after transarticular screw fixation of an odontoid fracture is shown and its rationale explained. Pedunculopontine nucleus DBS as treatment for fall-predominant Parkinson's disease, and globus pallidus interna DBS for dystonia-predominant Parkinson's disease, are discussed.

Publication types

Case Reports

MeSH terms

Accidental Falls
Bone Plates
Bone Screws
Cervical Vertebrae / injuries
Cervical Vertebrae / surgery
Deep Brain Stimulation / methods*
Female
Humans
Middle Aged
Parkinson Disease / physiopathology
Parkinson Disease / therapy*
Spinal Fractures / surgery
Spinal Fusion / instrumentation
Spinal Fusion / methods*
Torticollis / etiology
Torticollis / surgery*