Acta Neurochirurgica

, Volume 153, Issue 12, pp 2357–2360

Urinary incontinence following deep brain stimulation of the pedunculopontine nucleus

  • Iciar Aviles-Olmos
  • Thomas Foltynie
  • Jalesh Panicker
  • Dorothy Cowie
  • Patricia Limousin
  • Marwan Hariz
  • Clare J. Fowler
  • Ludvic Zrinzo
Case Report

DOI: 10.1007/s00701-011-1155-6

Cite this article as:
Aviles-Olmos, I., Foltynie, T., Panicker, J. et al. Acta Neurochir (2011) 153: 2357. doi:10.1007/s00701-011-1155-6

Abstract

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.

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Iciar Aviles-Olmos
    • 1
  • Thomas Foltynie
    • 1
  • Jalesh Panicker
    • 2
  • Dorothy Cowie
    • 3
  • Patricia Limousin
    • 1
  • Marwan Hariz
    • 1
  • Clare J. Fowler
    • 2
  • Ludvic Zrinzo
    • 1
  1. 1.Unit of Functional Neurosurgery, Sobell Department of Motor Neuroscience and Movement DisordersUCL Institute of NeurologyLondonUK
  2. 2.Department of Uro-NeurologyNational Hospital for Neurology and NeurosurgeryLondonUK
  3. 3.Gait Laboratory, Sobell Department of Motor Neuroscience and Movement DisordersUCL Institute of NeurologyLondonUK

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