Motor Cortex Stimulation for Parkinson's Disease
Motor Cortex Stimulation for Parkinson's Disease
Deep Brain Stimulation represents the golden standard for surgical treatment of Parkinson
 disease (PD), but it is not optimally effective for controlling every motor sign and adverse
 events are not so infrequent Therefore, other approaches should be considered.We identified
 the motor cortex as a possible candidate and therefore we propose a double-blind randomized
 prospective study in 20 Parkinson patients in order:

 -  to test the efficacy of epidural motor cortex stimulation in Parkinson disease (primary
 endpoint: UPDRS III at 12 months at the end of the cross-over)

 -  to find out optimal electrode position and optimal stimulation parameters
20 Parkinsonian patients will be enrolled. After implantation of a bilateral strip electrode
 (Resume, Medtronic) over the motor cortex, after setting of optimal stimulation parameters,
 and after implantation of a neurostimulator, Medtronic, the patient will be randomly assigned
 to group A (Motor cortex stimulation on) or to group B ( sham stimulation) for 6 months.
 Randomization will be based on the output of a program based on a random number generation
 function that will output a 0 or 1 with a 50% chance of having a 1.

 At the 6 months visit, a cross-over is scheduled: group A will receive sham stimulation and
 group B will receive stimulation of the motor cortex for the next 6 months. In group A, the
 stimulation of the motor cortex will be resumed before the end of the 6 month sham
 stimulation, when the clinical status of the patient will come back to the status quo ante
 (UPDRS score equal to baseline pre-implant score).

 Both the patients and the evaluating neurologists and neuropsychologists will be blind; only
 the neurosurgeon will know the state of the stimulator (on or off) and the position and
 parameters of MCS.

 At 12 months, all the patients will be programmed as stimulation on and followed up for
 further 18 months. At 30 months visit, the clinical evaluation will be performed in on
 stim-on med, on stim-off med conditions; then the stimulator will be switched off for 1 month
 and the clinical evaluation will be repeated in off stim-off med and off stim-on med
 conditions.

 The primary endpoint will be the UPDRS III at 12 months (end of the cross over), and
 subsequently at 18 and 30 months. We will compare the clinical results with the precise site
 of the stimulating electrodes and we will try to correlate the clinical results with the
 amount of inhibition induced by motor cortex stimulation.
Inclusion Criteria:

 1. Idiopathic PD as diagnosed by a neurologist - a movement disorders specialist,
 according to the Parkinson Disease Brain Bank criteria, with asymmetrical
 bradykinesia, rigidity, tremor and postural instability (at least 3 from the above)

 2. Significant clinical response to Levodopa (improvement of UPDRS motor score > 20%).

 3. Disease duration > 5 years

 4. Advanced stage of disease:

 5. UPDRS motor score in off condition >/= 40/108

 6. Hoehn & Yahr stage >/= 3

 7. DBS surgery not indicated or expressly refused by the patient

 8. Antiparkinsonian therapy stable for at least one month prior to implant

 9. Capability to give informed consent to surgery and to the study.

 Exclusion Criteria:

 1. Severe cognitive impairment or dementia

 2. Psychiatric disturbances with the exception of mild anxiety or depression and
 drug-induced psychiatric symptoms (i.e. benign hallucinations)

 3. History of epilepsy or documented electroencephalographic abnormalities suggesting
 epilepsy

 4. Previous neurosurgery of the brain (DBS or lesioning of the basal ganglia, fetal
 tissue transplantation )

 5. Lack of informed consent

 6. History of drug or alcohol abuse

 7. Poor general conditions increasing surgical risk or severe illness with poor
 prognosis.