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Washington University Experience | NEURODEGENERATION | Lewy Body Disease (LBD) | 3 LBD - Gross Pathology - Pallidotomy and DBS | 3A0 Case 3 History
Case 3 History ---- The patient was a 61yo male followed in the Movement Disorders Clinic (MDC) with a long history of Parkinson's disease with prominent autonomic symptoms. He had idiopathic PD for 30 years which progressed. He developed dopa-induced dyskinesis and underwent a right pallidotomy in 1996. Post-op complications included multiple aspiration pneumonia that required tracheostomy and gastrostomy. He had good benefit with decreased dyskinesias and tremors on the left side after the pallidotomy. However, he had progressive increased dyskinesis on the right side and by December 1999, he was severely disabled. He suffered from off-period dystonia, mild dementia and dopa-induced hallucinations. He underwent a left pallidotomy in January 2000. He was admitted in February 2000 for a three week history of left chest discomfort thought to reflect aspiration pneumonia which worsened needing ventilator support. He continued to deteriorate and developed a high fever and sepsis and died in February 2000.
