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Thirteen patients preferred to continue oral medical treatment, while two patients positively approached both STN-DBS and APO. The most common reason patients declined STN-DBS and LCIG was concerned about the surgical operation, while the most common reason APO was declined was its frequent administration of the injection. While STN-DBS was preferred by younger, less severe patients, APO was preferred by older patients who had a longer duration of disease. The most common reason patients declined STN-DBS and LCIG was concerned about the