Table 1.
Patient 1 | Patient 2 | Patient 3 | |
---|---|---|---|
Age at PD diagnosis (years) | 51 | 46 | 46 |
Age at STN DBS (years) | 58 | 53 | 58 |
Nature of gait dysfunction post-DBS | FOG, slowing of gait, foot dystonia, falls | FOG, slowing of gait, left ankle dystonia | FOG, slowing of gait, left foot dystonia |
Maximum medical therapy for gait dysfunction pre-LCIG | Levodopa 800 mg/day; botulinum toxin lower leg | Levodopa 600 mg/day; rotigotine 4 mg/day | Levodopa 800 mg/day; pramipexole 0.75 mg/day |
Time post-DBS of LCIG initiation (years) | 9 | 8 | 8 |
Maintenance LCIG infusion rate (mg levodopa per hour) | 40 | 52 | 70 |
Walking time and distance pre-LCIG | 12.5 sec† (12, 13); 10 m | 16 sec* (22, 10); 8 m | 11 sec† (11, 11); 10 m |
Walking time and distance post-LCIG | 9 sec† (8, 10); 10 m | 9.5 sec* (11, 8); 8 m | 9.5 sec† (9, 10); 10 m |
180-degree turn time pre-LCIG (seconds) | 3 | 4 | 4 |
180-degree turn time post-LCIG (seconds) | 2 | 2 | 3 |
Time on LCIG at time of gait assessment (months) | 6 | 8 | 23 |
Time on LCIG at time of writing (months) | 36 | 37 | 31 |
in the case of patient 2, walking times are the mean of (a) a sit-to-stand then 8 m walk and (b) the 8 m return walk. The absolute times of the two segments measured are shown in brackets after the mean;
walking times for patients 1 and 3 are the mean of two 10 m walk trials, recorded one after the other. The absolute times of the two trials are shown in brackets after the mean.
LCIG: levodopa-carbidopa intestinal gel, PD: Parkinson’s disease; STN: subthalamic, DBS: deep brain stimulation, FOG: freezing of gait.