BACKGROUND: Deep brain stimulation of the subthalamic nucleus (STN) is a widely applied procedure in the treatment of patients with advanced Parkinson disease and is generally performed under local anesthesia. Here we report our experience with the conversion to general anesthesia in two patients with advanced Parkinson disease because of fear reactions intraoperatively. CASE DESCRIPTION: Patients received general anesthesia with propofol and were implanted with electrodes at the level of STN guided by multiple-microelectrode electrophysiological recordings after obtaining informed consent. During the recordings the propofol levels were reduced. Postoperative clinical assessments showed marked improvements of motor disability with significant reductions of dopaminergic medication. CONCLUSION: Our case observations document the possibility of fear reactions intraoperatively and show the possibility of conversion to general anesthesia with a successful outcome. Georg Thieme Verlag KG Stuttgart · New York.
BACKGROUND: Deep brain stimulation of the subthalamic nucleus (STN) is a widely applied procedure in the treatment of patients with advanced Parkinson disease and is generally performed under local anesthesia. Here we report our experience with the conversion to general anesthesia in two patients with advanced Parkinson disease because of fear reactions intraoperatively. CASE DESCRIPTION: Patients received general anesthesia with propofol and were implanted with electrodes at the level of STN guided by multiple-microelectrode electrophysiological recordings after obtaining informed consent. During the recordings the propofol levels were reduced. Postoperative clinical assessments showed marked improvements of motor disability with significant reductions of dopaminergic medication. CONCLUSION: Our case observations document the possibility of fear reactions intraoperatively and show the possibility of conversion to general anesthesia with a successful outcome. Georg Thieme Verlag KG Stuttgart · New York.
Authors: Wen Liu; Xiumin Zhang; Pan Nie; Lidao Chen; Kai Fu; Jibo Zhang; Jincao Chen; Jie Zhang Journal: Am J Transl Res Date: 2022-03-15 Impact factor: 4.060
Authors: Woong-Woo Lee; Gwanhee Ehm; Hui-Jun Yang; In Ho Song; Yong Hoon Lim; Mi-Ryoung Kim; Young Eun Kim; Jae Ha Hwang; Hye Ran Park; Jae Min Lee; Jin Wook Kim; Han-Joon Kim; Cheolyoung Kim; Hee Chan Kim; Eunkyoung Park; In Young Kim; Dong Gyu Kim; Beomseok Jeon; Sun Ha Paek Journal: PLoS One Date: 2016-03-28 Impact factor: 3.240