Urinary incontinence following deep brain stimulation of the pedunculopontine nucleus
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- Aviles-Olmos, I., Foltynie, T., Panicker, J. et al. Acta Neurochir (2011) 153: 2357. doi:10.1007/s00701-011-1155-6
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Low-frequency deep brain stimulation (DBS) of the pedunculopontine nucleus (PPN) has been reported to improve akinesia and gait difficulties in patients with Parkinson’s disease (PD). We report on a patient with PD and L-dopa refractory gait symptoms who developed detrusor over-activity immediately after right PPN DBS. Proximity between caudal PPN and brainstem structures implicated in control of micturition is a possible explanation.