Literature DB >> 26475878

Deep brain stimulation complicated by bilateral large cystic cavitation around the leads in a patient with Parkinson's disease.

Jonathan Jagid1, Karthik Madhavan1, Amade Bregy2, Mehul Desai2, Armando Ruiz2, Robert Quencer2, Howard J Landy1.   

Abstract

Deep brain stimulation (DBS) is an approved and effective therapy for patients suffering from advanced Parkinson's disease (PD). Several clinical trials have indicated significant motor function improvement in patients undergoing subthalamic nucleus stimulation. This therapy is, rarely, associated with complications, mostly related to infections, seizures or stimulation-induced side effects. We report a case of a 71-year-old man with a 10-year history of PD who underwent bilateral placement of subthalamic nucleus DBS. As a complication, the patient showed subjective postoperative cognitive decline, and subsequent MRI showed peri-lead oedema, which progressed to large cystic cavitation around the leads without indication of infection. The patient received steroid therapy and the cavitations regressed without surgical intervention. 2015 BMJ Publishing Group Ltd.

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Year:  2015        PMID: 26475878      PMCID: PMC4612520          DOI: 10.1136/bcr-2015-211470

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN: 1757-790X


  33 in total

1.  No tissue damage by chronic deep brain stimulation in Parkinson's disease.

Authors:  C Haberler; F Alesch; P R Mazal; P Pilz; K Jellinger; M M Pinter; J A Hainfellner; H Budka
Journal:  Ann Neurol       Date:  2000-09       Impact factor: 10.422

2.  Deep brain stimulation for psychiatric disorders.

Authors:  Bart Nuttin; Jan Gybels; Paul Cosyns; Loes Gabriels; Bjorn Meyerson; Sergej Andreewitch; Steven A Rasmussen; Benjamin Greenberg; Gerhard Friehs; Ali R Rezai; Erwin Montgomery; Don Malone; Joseph J Fins
Journal:  Neurosurg Clin N Am       Date:  2003-04       Impact factor: 2.509

3.  Minimal tissue damage after stimulation of the motor thalamus in a case of chorea-acanthocytosis.

Authors:  P Burbaud; A Vital; A Rougier; S Bouillot; D Guehl; E Cuny; X Ferrer; A Lagueny; B Bioulac
Journal:  Neurology       Date:  2002-12-24       Impact factor: 9.910

4.  Postmortem observation of collagenous lead tip region fibrosis as a rare complication of DBS.

Authors:  Vinata Vedam-Mai; Anthony Yachnis; Michael Ullman; Saman P Javedan; Michael S Okun
Journal:  Mov Disord       Date:  2012-02-07       Impact factor: 10.338

5.  Chronic subthalamic high-frequency deep brain stimulation in Parkinson's disease--a histopathological study.

Authors:  M S Nielsen; C R Bjarkam; J C Sørensen; M Bojsen-Møller; N Aa Sunde; K Østergaard
Journal:  Eur J Neurol       Date:  2007-02       Impact factor: 6.089

Review 6.  Silicone breast implants and neurologic disorders. Report of the Practice Committee of the American Academy of Neurology.

Authors:  J H Ferguson
Journal:  Neurology       Date:  1997-06       Impact factor: 9.910

Review 7.  Deep-brain stimulation for anorexia nervosa.

Authors:  Hemmings Wu; Pieter Jan Van Dyck-Lippens; Remco Santegoeds; Kris van Kuyck; Loes Gabriëls; Guozhen Lin; Guihua Pan; Yongchao Li; Dianyou Li; Shikun Zhan; Bomin Sun; Bart Nuttin
Journal:  World Neurosurg       Date:  2012-06-25       Impact factor: 2.104

8.  Deep brain stimulation for phantom limb pain.

Authors:  Richard G Bittar; Sofia Otero; Helen Carter; Tipu Z Aziz
Journal:  J Clin Neurosci       Date:  2005-05       Impact factor: 1.961

9.  Deep brain stimulation for treatment-refractory obsessive-compulsive disorder: psychopathological and neuropsychological outcome in three cases.

Authors:  L Gabriëls; P Cosyns; B Nuttin; H Demeulemeester; J Gybels
Journal:  Acta Psychiatr Scand       Date:  2003-04       Impact factor: 6.392

10.  Asymptomatic transient MRI signal changes after unilateral deep brain stimulation electrode implantation for movement disorder.

Authors:  Stephen I Ryu; Pantaleo Romanelli; Gary Heit
Journal:  Stereotact Funct Neurosurg       Date:  2004-03-19       Impact factor: 1.875

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  4 in total

1.  Case report of hyperacute edema and cavitation following deep brain stimulation lead implantation.

Authors:  Albert J Fenoy; Christopher R Conner; Joseph S Withrow; Aaron W Hocher
Journal:  Surg Neurol Int       Date:  2020-08-29

2.  Development of Unilateral Peri-Lead Edema Into Large Cystic Cavitation After Deep Brain Stimulation: A Case Report.

Authors:  Yue Lu; Chang Qiu; Lei Chang; Bei Luo; Wenwen Dong; Wenbin Zhang; Hai-Hua Sun
Journal:  Front Neurol       Date:  2022-05-23       Impact factor: 4.086

3.  The need to be alert to complications of peri-lead cerebral edema caused by deep brain stimulation implantation: A systematic literature review and meta-analysis study.

Authors:  Yu Tian; Jiaming Wang; Lei Jiang; Zhaohai Feng; Xin Shi; Yujun Hao
Journal:  CNS Neurosci Ther       Date:  2022-01-19       Impact factor: 5.243

4.  Acute symptomatic peri-lead edema 33 hours after deep brain stimulation surgery: a case report.

Authors:  Nathan B Schoen; Walter J Jermakowicz; Corneliu C Luca; Jonathan R Jagid
Journal:  J Med Case Rep       Date:  2017-04-14
  4 in total

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