Do you know about the sea-saw dilemma in STN DBS programming? If you have ever been frustrated by small changes in DBS or small changes in medications improving one aspect of care and then shifting the 'sea-saw' to create another challenge you have been a victim.
The dilemma occurs when 'frustrating attempts by a clinician to achieve therapeutic equilibrium w STN DBS. The presence of pre-operative 'brittle dyskinesia,' as in this case, may have been a missed opportunity to pursue a GPi target.' @MatthewRemz@UFMDFellowship@FixelInstitute fellow reviews the topic, presents a case and shows us some paths forward if you encounter. @DBSThinkTank@leaddbs https://t.co/7q2CLZfsm3
VIDEO ROUNDS 🎥: Do you know what the snorkel sign is??
@MatthewRemz presented a case of isolated lingual movements resulting in water swallowing and breathing issues while swimming. A snorkel provided resolution of symptoms. 🤿👅What does the patient have?