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Bilateral chronic subthalamic nucleus (STN) stimulation is a new and useful surgical method to improve parkinsonian disability. The improvement involves all the major parkinsonian signs.1Recently, Krack et al 2 reported that chronic stimulation of the STN also improved levodopa induced dyskinesias, although they explained this effect mainly by a decrease in the levodopa dosage. We report on a patient who presented a marked improvement of levodopa induced dyskinesias without decreasing the daily dosage of levodopa.
A 68 year old man was diagnosed with Parkinson’s disease at the age of 38, and started levodopa at the age of 43, with good initial effect. At the age of 56 …
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