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Levodopa / opicapone as a complement to STN-DBS in clinical practice. A retrospective single-centre analysis.


ABSTRACT:

Objective

Deep brain stimulation of the subthalamic nucleus (STN-DBS) is a well-established treatment option in Parkinson's disease with motor and non-motor fluctuations allowing for postoperative reduction of dopaminergic medication. However, evidence is scarce on optimal medication adjustments following STN-DBS implantation. Opicapone allows for long-lasting inhibition of the catechol-O-methyltransferase (COMT) thereby enabling more constant dopaminergic stimulation compared to levodopa alone. However, especially COMT inhibitors are regularly discontinued after STN-DBS surgery. In this single-centre retrospective analysis, we aimed to analyse the clinical phenotype of patients selected for opicapone treatment following STN-DBS implantation and to define clinical determinan

SUBMITTER: Loeffler MA 

PROVIDER: S-EPMC11488416 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature