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Deep brain stimulation targeting the Globus pallidus internus for Parkinson's disease and Tourette syndrome
Journal article   Open access   Peer reviewed

Deep brain stimulation targeting the Globus pallidus internus for Parkinson's disease and Tourette syndrome

Qiang Zhang and Teri R. Thomsen
Clinical parkinsonism & related disorders, Vol.3, p.100077
2020
DOI: 10.1016/j.prdoa.2020.100077
PMCID: PMC8298847
PMID: 34316655
url
https://doi.org/10.1016/j.prdoa.2020.100077View
Published (Version of record) Open Access

Abstract

We present a case with co-existing Parkinson's disease and Tourette syndrome. Patient takes aripiprazole for Tourette syndrome, which unfortunately worsens his parkinsonian symptoms. We placed deep brain stimulation targeting the Globus pallidus internus. Strikingly, his parkinsonian motor symptoms and his tics are both well controlled with deep brain stimulation. •Patients with Tourette syndrome and Parkinson's disease may benefit from GPi DBS.•Higher frequency (130 Hz) GPi DBS may be helpful for tics.•Lower pulse width (60 μs) could be beneficial in Tourette syndrome.•Empirical combinations of pulse width and frequency should be liberally employed to maximize benefit.
deep brain stimulation (DBS) Frequency Globus pallidus internus (GPi) Parkinson's disease Pulse width Tics Tourette syndrome Tremor

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