![dorsal column stimulation parkinson dorsal column stimulation parkinson](https://ai2-s2-public.s3.amazonaws.com/figures/2017-08-08/05e192ac23b443474854589d9608896c4dff7bb3/2-Figure2-1.png)
This case suggests that SCS may be effective for improving painful truncal postural abnormalities and motor complications of Parkinson’s disease. Unified Parkinson’s Disease Rating Scale score improved from 48 to 34 points and Timed Up and Go Test improved from 15 s to 7 s after SCS.
The pain disappeared immediately after SCS and her posture then gradually improved. Finally, SCS was performed for the pain relief. The pain was unsuccessfully treated with oral analgesics, radiofrequency coagulation of the dorsal and medial branches of the lumbar spinal nerve, and lumbar epidural block. However, from 62 years of age, painful camptocormia with Pisa syndrome to the right reappeared. The truncal postural abnormalities improved after DBS, and she could travel abroad at 61 years of age. These symptoms worsened despite adjustment of her oral medications, and deep brain stimulation (DBS) was performed when she was 60 years old. Wearing-off occurred when she was 57 years old, 3 years after starting carbidopa/levodopa, and truncal postural abnormalities-painful camptocormia with Pisa syndrome to the right-appeared at 58 years of age. Cabergoline was started during that same year, with subsequent addition of selegiline hydrochloride the symptoms of parkinsonism disappeared. She was diagnosed as having Parkinson’s disease (Hoehn & Yahr stage 1) at 53 years of age. She had noticed resting tremor in the left upper limb and aprosody at 48 years of age. Case presentationĪ 65-year-old woman was admitted to our hospital because of painful camptocormia. In this case report, we describe a case of a woman with Parkinson’s disease in whom SCS was effective for painful camptocormia with Pisa syndrome. Spinal cord stimulation (SCS) has recently been reported to be effective for truncal postural abnormalities such as camptocormia and Pisa syndrome in Parkinson’s disease.