scholarly journals Placement of the Internal Pulse Generator for Deep Brain Stimulation in the Upper Back to Prevent Fracture of the Extension Wire due to Generator Rotation: Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Ankur Garg ◽  
Avinash L. Mohan ◽  
P. Charles Garell
Keyword(s):  
Case Report ◽  
Deep Brain Stimulation ◽  
Essential Tremor ◽  
Brain Stimulation ◽  
Surgical Procedure ◽  
Pulse Generator ◽  
Potential Complication ◽  
Hardware Failure ◽  
Internal Pulse Generator ◽  
Deep Brain

Deep brain stimulation (DBS) is a common surgical procedure used for the treatment of Parkinson's disease (PD) and essential tremor. A potential complication of this procedure is hardware failure. The authors report a case of DBS hardware failure in which repeated fractures of the extension wire were caused by abnormal rotational movements of the IPG placed in the loose subclavicular tissue of an overweight female. Implantation of the IPG in the suprascapular area prevented further extension wire fractures. This strategy may be especially relevant in overweight females with loose subclavicular tissue.

Deep Brain Stimulation/Stereotaxic Surgery

2018 ◽  
Author(s):  
Sandra Machado
Keyword(s):  
Deep Brain Stimulation ◽  
Postoperative Complications ◽  
Essential Tremor ◽  
Brain Stimulation ◽  
Movement Disorders ◽  
Pulse Generator ◽  
Stereotactic Implantation ◽  
Two Stages ◽  
Effective Use ◽  
Deep Brain

Deep brain stimulation (DBS) is now a widely accepted treatment option for patients with movement disorders such as parkinsonism and essential tremor. DBS surgery presents challenges to the anesthesiologist as often these patients are required to be awake for accurate placement of the stimulators. Additionally, patients with movement disorders often have comorbidities that increase their risk of perioperative and postoperative complications. DBS surgery is often divided into two stages (1) stereotactic implantation of the DBS leads and (2) internalization of the pulse generator, with each of these stages stage having distinct anesthesia demands. Ongoing studies are exploring other indications for the effective use of DBS surgery.

Thalamic Deep Brain Stimulation Salvages Failed Focused Ultrasound Thalamotomy for Essential Tremor: A Case Report

2018 ◽  
Vol 96 (1) ◽  
pp. 60-64 ◽  
Author(s):  
Tony R. Wang ◽  
Robert F. Dallapiazza ◽  
Shayan Moosa ◽  
Diane Huss ◽  
Binit B. Shah ◽  
...  
Keyword(s):  
Case Report ◽  
Deep Brain Stimulation ◽  
Essential Tremor ◽  
Brain Stimulation ◽  
Focused Ultrasound ◽  
Deep Brain

Reuse of Internal Pulse Generator in Cases of Infection after Deep Brain Stimulation Surgery

2014 ◽  
Vol 92 (3) ◽  
pp. 140-144 ◽  
Author(s):  
Selcuk Gocmen ◽  
Ozkan Celiker ◽  
Abdullah Topcu ◽  
Aikaterini Panteli ◽  
Goksemin Acar ◽  
...  
Keyword(s):  
Deep Brain Stimulation ◽  
Brain Stimulation ◽  
Pulse Generator ◽  
Internal Pulse Generator ◽  
Deep Brain Stimulation Surgery ◽  
Deep Brain

3-Tesla MRI in patients with fully implanted deep brain stimulation devices: a preliminary study in 10 patients

2017 ◽  
Vol 127 (4) ◽  
pp. 892-898 ◽  
Author(s):  
Francesco Sammartino ◽  
Vibhor Krishna ◽  
Tejas Sankar ◽  
Jason Fisico ◽  
Suneil K. Kalia ◽  
...  
Keyword(s):  
Deep Brain Stimulation ◽  
Brain Stimulation ◽  
Pulse Generator ◽  
Safety Data ◽  
Phantom Study ◽  
Maximum Temperature ◽  
Clinical Safety ◽  
Internal Pulse Generator ◽  
Neurological Effects ◽  
Deep Brain

OBJECTIVEThe aim of this study was to evaluate the safety of 3-T MRI in patients with implanted deep brain stimulation (DBS) systems.METHODSThis study was performed in 2 phases. In an initial phantom study, a Lucite phantom filled with tissue-mimicking gel was assembled. The system was equipped with a single DBS electrode connected to an internal pulse generator. The tip of the electrode was coupled to a fiber optic thermometer with a temperature resolution of 0.1°C. Both anatomical (T1- and T2-weighted) and functional MRI sequences were tested. A temperature change within 2°C from baseline was considered safe. After findings from the phantom study suggested safety, 10 patients with implanted DBS systems targeting various brain areas provided informed consent and underwent 3-T MRI using the same imaging sequences. Detailed neurological evaluations and internal pulse generator interrogations were performed before and after imaging.RESULTSDuring phantom testing, the maximum temperature increase was registered using the T2-weighted sequence. The maximal temperature changes at the tip of the DBS electrode were < 1°C for all sequences tested. In all patients, adequate images were obtained with structural imaging, although a significant artifact from lead connectors interfered with functional imaging quality. No heating, warmth, or adverse neurological effects were observed.CONCLUSIONSTo the authors' knowledge, this was the first study to assess the clinical safety of 3-T MRI in patients with a fully implanted DBS system (electrodes, extensions, and pulse generator). It provided preliminary data that will allow further examination and assessment of the safety of 3-T imaging studies in patients with implanted DBS systems. The authors cannot advocate widespread use of this type of imaging in patients with DBS implants until more safety data are obtained.

scholarly journals Deep brain stimulation of the centromedian thalamic nucleus for essential tremor: a case report

2017 ◽  
Vol 159 (5) ◽  
pp. 789-793 ◽  
Author(s):  
Vibhash D. Sharma ◽  
Klaus Mewes ◽  
Thomas Wichmann ◽  
Cathrin Buetefisch ◽  
Jon T. Willie ◽  
...  
Keyword(s):  
Case Report ◽  
Deep Brain Stimulation ◽  
Essential Tremor ◽  
Brain Stimulation ◽  
Thalamic Nucleus ◽  
Deep Brain ◽  
Stimulation Of

scholarly journals Parkinsonism management issues in a patient with exhausted subthalamic deep brain stimulation battery, stricken by severe acute respiratory syndrome coronavirus 2

2021 ◽  
Author(s):  
Seyed Amir Hassan Habibi ◽  
Luigi Romito ◽  
Oldooz Aloosh ◽  
Mohammad Rohani ◽  
Fatemeh Moghadas ◽  
...  
Keyword(s):  
Deep Brain Stimulation ◽  
Severe Acute Respiratory Syndrome ◽  
Brain Stimulation ◽  
Pulse Generator ◽  
Clinical Signs ◽  
Recent Experience ◽  
Close Monitoring ◽  
Hardware Failure ◽  
Life Threatening ◽  
Deep Brain

Background: Nowadays, many neurological conditions, including Parkinson’s disease (PD), are treated with deep brain stimulation (DBS). Life-threatening consequences can occur from DBS hardware failure or sudden implantable pulse generator (IPG) battery depletion. This issue may potentially worsen in concomitance with medical or infectious conditions, requiring stronger emergency management. Methods: We present here a 58 year-old PD patient with DBS, whose IPG replacement surgery was complicated by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and we report management of this patient along with recommendations for patients with similar situation. Results: As the newly-emerged coronavirus disease 2019 (COVID-19) is now announced to be pandemic, new protocols and specific measures for each individual group of patients with chronic diseases seem obligatory. Regarding our recent experience with a patient suffering from PD, on DBS treatment, who needed hospitalization, we felt useful to share our experience as a recommended protocol for similar patients in the time of current pandemic. Conclusion: Close monitoring of laboratory and clinical signs should be warranted in patients with PD awaiting IPG replacement in order to be prepared in these novel conditions that may precipitate an akinetic crisis/dystonic storm and to prevent life-threatening complications during the current pandemic.

Is cardiac defibrillation contraindicated in patients with deep brain stimulation? A post-mortem case report

2005 ◽  
Vol 32 (S 4) ◽  
Author(s):  
M Kronenbürger ◽  
K Nolte ◽  
A Grave ◽  
C Fromm ◽  
V Sturm ◽  
...  
Keyword(s):  
Case Report ◽  
Deep Brain Stimulation ◽  
Brain Stimulation ◽  
Post Mortem ◽  
Deep Brain
Sign in / Sign up

Export Citation Format

Share Document