Usually this kind of surgery was done under local anaesthesia to evaluate the benefit of the surgery on ... Drugs which can modify rigidity are not indicated.
Electro-acunpuncture as analgesia technique for DBS in Parkinson s Disease
S. Raoul1, R. Brissot2, Y. Meas3, JP N Guyen1 1 : service de Neurochirurgie, CHU Nantes 2 : service de Rééducation Fonctionnelle, CHU Rennes 3 : Centre Fédératif Douleur, CHU Nantes Objectif Deep brain stimulation in the subthalamic nucleus is common now to treat all symptoms of Parkinson s disease. Usually this kind of surgery was done under local anaesthesia to evaluate the benefit of the surgery on rigidity, tremor and akinesia and to verify that there is no side-effect. Drugs which can modify rigidity are not indicated. So during the surgery morphinic drugs can not be used because of decreasing the rigidity. To decrease the pain and the discomfort of the surgery we used electro-acunpuncture. Methods Ten patients were done under local anesthesia and electro-acunpuncture. Patients were prepared the day before surgery with a video of the surgery and explanations of the electro-acunpuncture technic and one electroacupuncture was done to test the sensibility and the tolerance of the patient. The day of the surgery the patient is placed of the surgery table and the electro-acunpuncture begin before the surgeon put the frame on the head of the patient. Evaluation of VAS were done before the surgery and every painful phases of surgery and evaluation of the anxiety score.
Results Results were good with decreased of pain on Vas than more 50% compared to control subjects, anxiety was decreased too and patient s satisfaction was evaluated with 80% of patients said that pain VAS was about 2/10 and decrease of anxiety score. 12
10
8 EVA confort 0-10 6
Anxiété 1-5 Tension visage 1-5
4
2
Conclusion electro-acupuncture can help patients to decrease pain and surgical discomfort
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