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Update on Impact and Treatment of Falls in Parkinson’s Disease - page 20 / 27

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Surgical treatments

Deep brain stimulation

STN/GPi stim may help just as medication adjustment does

Decreasing frequency later in course may help balance1

STN DBS long term effects debatable on gait and balance2

Sometimes using proximal leads can help

Experimentally looking into PPN stimulation for gait and balance problems3

1 Moreau, et al. Neurology. 2008 Jul 8;71(2):80-4.

2reviewed in Boonstra, et al. Cur Opin in Neurology 2008; 21:461-471.

3Stefani, et al.  Brain. 2007 Jun;130(Pt 6):1596-607. Epub 2007 Jan 24.

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