Question

A 71 year old man with Parkinson disease has increasing motor fluctuations and dyskinesias despite optimised levodopa and dopamine agonist therapy. Which advanced therapy may be considered to improve motor control?

Accepted Answer

Deep brain stimulation of the subthalamic nucleus

Answer

High dose oral anticholinergics

Answer

Beta blocker therapy

Answer

Long term systemic corticosteroids

Answer

No additional therapy options

Practice question

A 71 year old man with Parkinson disease has increasing motor fluctuations and dyskinesias despite optimised levodopa and dopamine agonist therapy. Which advanced therapy may be considered to improve motor control?