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Acta neurochirurgica
02, 2022;164 (2): 575-585.

Efficacy of caudal pedunculopontine nucleus stimulation on postural instability and gait disorders in Parkinson's disease.

Kaijia Yu, Zhiwei Ren, Yongsheng Hu, Song Guo, Xiaofan Ye, Jianyu Li, Yongjie Li
Author Information
  1. Kaijia Yu: Beijing Institute of Functional Neurosurgery, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China.
  2. Zhiwei Ren: Beijing Institute of Functional Neurosurgery, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China.
  3. Yongsheng Hu: Beijing Institute of Functional Neurosurgery, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China.
  4. Song Guo: Beijing Institute of Functional Neurosurgery, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China.
  5. Xiaofan Ye: Department of Neurosurgery, The University of Hong Kong - Shenzhen Hospital, Shenzhen, 518040, China.
  6. Jianyu Li: Beijing Institute of Functional Neurosurgery, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China. ljy83198671@163.com.
  7. Yongjie Li: Beijing Institute of Functional Neurosurgery, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China.
PMID: 35029762 DOI: 10.1007/s00701-022-05117-w

Abstract

OBJECTIVES: Gait-related symptoms like postural instability and gait disorders (PIGD) inexorably worsen with Parkinson's disease (PD) deterioration and become refractory to current available medical treatment and deep brain stimulation (DBS) of conventional targets. Pedunculopontine nucleus (PPN) deep brain stimulation (DBS) is a promising method to treat PIGD. This prospective study aimed to clarify the clinical application of PPN-DBS and to explore effects of caudal PPN stimulation on PIGD.
METHODS: Five consecutive PD patients with severe medication-resistant postural instability and gait disorders accepted caudal PPN-DBS. LEAD-DBS toolbox was used to reconstruct and visualize the electrodes based on pre- and postoperative images. Outcomes were assessed with Movement Disorder Society (MDS)-Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS), gait-specific questionnaires, and objective gait analysis with GAITRite system.
RESULTS: MDS-UPDRS subitems 35-38 scores were improved at postoperative 6 months (mean, 4.40 vs 11.00; p = 0.0006) and 12 months (mean, 5.60 vs 11.00; p = 0.0013) compared with baseline, and scores at 6 months were slightly lower than scores at 12 months (mean, 4.40 vs 5.60; p = 0.0116). Gait and Falls Questionnaire, New Freezing of Gait Questionnaire, and Falls Questionnaire scores also significantly improved at postoperative 6 months and 12 months compared with baseline. In addition, cadence, bilateral step length, and bilateral stride length significantly increased when PPN On-stimulation compared with Off-stimulation.
CONCLUSIONS: This study suggested that caudal PPN low-frequency stimulation improved PIGD for PD patients at the 6- and 12-month period.

Keywords

Deep brain stimulation Gait LEAD-DBS Parkinson’s disease Pedunculopontine nucleus

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MeSH Term

Deep Brain Stimulation
Gait
Gait Disorders, Neurologic
Humans
Parkinson Disease
Pedunculopontine Tegmental Nucleus
Prospective Studies
Journal Article Research Support, Non-U.S. Gov't
Article has an altmetric score of 2

Word Cloud

Created with Highcharts 10.0.0stimulationgaitPIGDPPNcaudalscoresposturalinstabilitydisordersParkinson'sdiseasePDbrainnucleuspostoperativeimproved6 monthsmeanvsp = 012 monthscomparedGaitQuestionnairedeepDBSPedunculopontinestudyPPN-DBSpatientsLEAD-DBSMDS-UPDRS4401100560baselineFallssignificantlybilaterallengthOBJECTIVES:Gait-relatedsymptomslikeinexorablyworsendeteriorationbecomerefractorycurrentavailablemedicaltreatmentconventionaltargetspromisingmethodtreatprospectiveaimedclarifyclinicalapplicationexploreeffectsMETHODS:Fiveconsecutiveseveremedication-resistantacceptedtoolboxusedreconstructvisualizeelectrodesbasedpre-imagesOutcomesassessedMovementDisorderSocietyMDS-SponsoredRevisionUnifiedDiseaseRatingScalegait-specificquestionnairesobjectiveanalysisGAITRitesystemRESULTS:subitems35-3800060013slightlylower0116NewFreezingalsoadditioncadencestepstrideincreasedOn-stimulationOff-stimulationCONCLUSIONS:suggestedlow-frequency6-12-monthperiodEfficacypedunculopontineDeepParkinson’s

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