• J Clin Neurosci · Feb 2015

    Case Reports

    Successful subthalamic nucleus deep brain stimulation therapy after significant lead displacement from a subdural hematoma.

    • Esmiralda Yeremeyeva Henderson, Timothy Goble, Pierre-François D'Haese, Srivatsan Pallavaram, Chima Oluigbo, Punit Agrawal, Milind Deogaonkar, and Ali Rezai.
    • Mercy Brain and Spine, Mercy Medical Center, 1111 6th Avenue, East Tower, B level, Des Moines, IA 50314, USA. Electronic address: ehenderson@mercydesmoines.org.
    • J Clin Neurosci. 2015 Feb 1; 22 (2): 387-90.

    AbstractA 57-year-old man with a 21 year history of Parkinson's disease underwent bilateral subthalamic nucleus deep brain stimulation (DBS) placement. One week postoperatively he developed an acute left subdural hematoma from a fall with significant displacement of the DBS leads. It was promptly evacuated, the patient slowly recovered neurologically, and the leads again moved near to the original position. Six months of stimulation therapy attained 50% reduction in symptoms. This case report demonstrates the movement of DBS leads due to brain shift and their ability to come back to previous location once the brain shift is corrected.Copyright © 2014 Elsevier Ltd. All rights reserved.

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