Title |
Acute symptomatic peri-lead edema 33 hours after deep brain stimulation surgery: a case report
|
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Published in |
Journal of Medical Case Reports, April 2017
|
DOI | 10.1186/s13256-017-1275-6 |
Pubmed ID | |
Authors |
Nathan B. Schoen, Walter J. Jermakowicz, Corneliu C. Luca, Jonathan R. Jagid |
Abstract |
Symptomatic peri-lead edema is a rare complication of deep brain stimulation that has been reported to develop 4 to 120 days postoperatively. Here we report the case of a 63-year-old Hispanic man with an 8-year history of Parkinson's disease who underwent bilateral placement of subthalamic nucleus deep brain stimulation leads and presented with acute, symptomatic, unilateral, peri-lead edema just 33 hours after surgery. We document a thorough radiographic time course showing the evolution of these peri-lead changes and their regression with steroid therapy, and discuss the therapeutic implications of these findings. We propose that the unilateral peri-lead edema after bilateral deep brain stimulation is the result of severe microtrauma with blood-brain barrier disruption. Knowledge of such early manifestation of peri-lead edema after deep brain stimulation is critical for ruling out stroke and infection and preventing unnecessary diagnostic testing or hardware removal in this rare patient population. |
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Country | Count | As % |
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United States | 1 | 50% |
United Kingdom | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 50% |
Scientists | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 49 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 9 | 18% |
Student > Bachelor | 9 | 18% |
Other | 4 | 8% |
Student > Ph. D. Student | 4 | 8% |
Student > Doctoral Student | 3 | 6% |
Other | 8 | 16% |
Unknown | 12 | 24% |
Readers by discipline | Count | As % |
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Neuroscience | 7 | 14% |
Psychology | 3 | 6% |
Social Sciences | 2 | 4% |
Computer Science | 1 | 2% |
Other | 5 | 10% |
Unknown | 15 | 31% |