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Urinary incontinence following deep brain stimulation of the pedunculopontine nucleus

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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.

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Authors and Affiliations

  1. Unit of Functional Neurosurgery, Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square, London, WC1N 3BG, UK

    Iciar Aviles-Olmos, Thomas Foltynie, Patricia Limousin, Marwan Hariz & Ludvic Zrinzo

  2. Department of Uro-Neurology, National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK

    Jalesh Panicker & Clare J. Fowler

  3. Gait Laboratory, Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square, London, WC1N 3BG, UK

    Dorothy Cowie

Authors
  1. Iciar Aviles-Olmos
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  2. Thomas Foltynie
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  3. Jalesh Panicker
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  4. Dorothy Cowie
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  5. Patricia Limousin
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  6. Marwan Hariz
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  7. Clare J. Fowler
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  8. Ludvic Zrinzo
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Correspondence to Iciar Aviles-Olmos.

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Aviles-Olmos, I., Foltynie, T., Panicker, J. et al. Urinary incontinence following deep brain stimulation of the pedunculopontine nucleus. Acta Neurochir 153, 2357–2360 (2011). https://doi.org/10.1007/s00701-011-1155-6

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  • DOI: https://doi.org/10.1007/s00701-011-1155-6

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