Table 3.
Patient | UPDRS‐III scores Pre‐LCIG ON‐stim (OFF‐meds) | UPDRS‐III scores pre‐LCIG ON‐ Stim (ON‐meds)* | UPDRS‐III scores post‐ LCIG ON‐Stim* | OFF‐time pre‐LCIGON‐Stim † | OFF‐time post‐LCIG ON‐Stim † | Sudden OFF pre‐LCIG ON meds ON‐Stim ‡ | Sudden OFF post‐LCIG ON‐Stim ‡ | Dyskinesia disability pre‐LCIG ON‐Stim ± | Dyskinesia disability post‐LCIG ON‐Stim ± | Dyskinesia duration pre‐LCIG ON‐Stim ± | Dyskinesia duration post‐LCIG ON‐Stim ± | Levodopa dose pre‐ LCIG (mg)** | Levodopa dose equivalent from LCIG (mg)** |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 42 | 28 | 33 | 3 | 0 | Y | N | 2 | 1 | 4 | 2 | 3150 | 3216 |
2 | 33 | 21 | 19 | 2 | 1 | Y | N | 2 | 1 | 3 | 1 | 2750 | 3000 |
3 | 38 | 28 | 16 | 3 | 1 | Y | Y | 0 | 1 | 1 | 2 | 2800 | 2600 |
4 | N/A | 28 | 31 | 3 | 1 | Y | N | 3 | 2 | 4 | 2 | 1800 | 1600 |
5 | 28 | 23 | 14 | 3 | 1 | Y | Y | 2 | 1 | 3 | 1 | 1100 | 1866 |
6 | 39 | 19 | 20 | 2 | 0 | N | N | 1 | 2 | 2 | 4 | 1850 | 1620 |
Median OFF meds ON‐stim pre‐LCIG UPDRS motor scores is 38. Median OFF meds pre‐DBS UPDRS motor score (Table 2) is 31. The UPDRS‐IV dyskinesia disability scale 0: Not disabling, 1: mildly disabling, 2: moderately disabling, 3: severely disabling, 4: completely disabled.
Median ON UPDRS motor scores pre (Median = 25.5/IQR = 21–28) and post (Median = 19.5/IQR = 15–31) LCIG therapy (P = 0.6) were not different. Wilcoxon signed rank test.
Median UPDRS‐IV OFF time pre (Median = 3) and post (Median = 1) LCIG therapy (ON‐Stim) were significantly different (P = 0.024). Wilcoxon signed rank test.
3 of 5 patients with unpredictable fluctuations showed improvement after LCIG therapy.
UPDRS‐IV dyskinesia disability scores pre (Median = 2) and post (Median = 1) LCIG therapy (P = 0.4) and dyskinesia duration scores pre (Median = 3) and post (Median = 2) LCIG therapy (P = 0.2) were not significantly different. Wilcoxon signed rank test.
Median levodopa dose pre (Median = 2300 mg/IQR = 1625–2888 mg) and post (Median = 2233/IQR = 1615–3054 mg) LCIG therapy (P = 0.752). Wilcoxon signed rank test.