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This 52-year-old patient developed rest tremor of the right hand at the age of 49 years (L-7992). Preoperatively, he presented with a combination of dystonic and parkinsonian features including PD-typical, large-amplitude rest tremor of the right hand, moderate jaw-opening dystonia, dystonic flexion of the trunk, hypomimia, bradykinesia, small-stepped gait and moderate postural instability. Both dystonia and parkinsonism improved remarkably within a few days and remained stable over the course of 6 and 12 months, respectively. He continuously benefited from DBS. Battery replacement was carried out successfully after 30 months in Lübeck.
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