Electrode displacement after intracerebral hematoma as a complication of a deep brain stimulation procedure

Domenico Servello1, Marco Sassi1, Stefano Bastianello2, Guy Umberto Poloni2, Francesca Mancini3, Claudio Pacchetti31Functional Neurosurgery Unit, Istituto di Ricovero e Cura a Carattere Scientifico Galeazzi, Milan, Italy; 2Neuroradiology Unit; 3Parkinson Disease and Movement Disorder Unit, Istituto...

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Autores principales:	Domenico Servello, Marco Sassi, Stefano Bastianello, Guy Umberto Poloni, et al.
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2009
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/ffa41be2a1f74a00a95f7518a8a4d50c
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spelling	oai:doaj.org-article:ffa41be2a1f74a00a95f7518a8a4d50c2021-12-02T01:14:58ZElectrode displacement after intracerebral hematoma as a complication of a deep brain stimulation procedure1176-63281178-2021https://doaj.org/article/ffa41be2a1f74a00a95f7518a8a4d50c2009-03-01T00:00:00Zhttp://www.dovepress.com/electrode-displacement-after-intracerebral-hematoma-as-a-complication--a2930https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Domenico Servello1, Marco Sassi1, Stefano Bastianello2, Guy Umberto Poloni2, Francesca Mancini3, Claudio Pacchetti31Functional Neurosurgery Unit, Istituto di Ricovero e Cura a Carattere Scientifico Galeazzi, Milan, Italy; 2Neuroradiology Unit; 3Parkinson Disease and Movement Disorder Unit, Istituto di Ricovero e Cura a Carattere Scientifico Mondino, Institute of Neurology, Pavia, Italy Objectives: Deep brain stimulation (DBS) is nowadays considered a safe and effective procedure for various movement disorders in which conservative treatments have failed to show significant therapeutic results. One of the most common complications of definitive electrode positioning is intraparenchymal hemorrhage.Materials and methods: Authors report the case of a 55-year-old female patient treated for&nbsp;Parkinson&rsquo;s disease in which intraparenchymal hemorrhage developed after DBS procedure, leading to significant (about 8 mm at the neuroradiological controls) displacement of an otherwise correctly positioned DBS electrode.Results: After conservative management, the hematoma spontaneously resolved. Late neuroradiological controls documented correct, symmetrically positioned electrodes, comparable to the immediate postoperative controls.Conclusions: Six months follow-up endpoint results of the DBS treatment were considered satisfying by an independent neurologist, with modest residual neurological deficits, demonstrating that re-positioning of the electrode was unnecessary in this rare complication.Keywords: deep brain stimulation, electrodes, outcomes, implant, case report Domenico ServelloMarco SassiStefano BastianelloGuy Umberto Poloniet al.Dove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2009, Iss default, Pp 183-187 (2009)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Domenico Servello Marco Sassi Stefano Bastianello Guy Umberto Poloni et al. Electrode displacement after intracerebral hematoma as a complication of a deep brain stimulation procedure
description	Domenico Servello1, Marco Sassi1, Stefano Bastianello2, Guy Umberto Poloni2, Francesca Mancini3, Claudio Pacchetti31Functional Neurosurgery Unit, Istituto di Ricovero e Cura a Carattere Scientifico Galeazzi, Milan, Italy; 2Neuroradiology Unit; 3Parkinson Disease and Movement Disorder Unit, Istituto di Ricovero e Cura a Carattere Scientifico Mondino, Institute of Neurology, Pavia, Italy Objectives: Deep brain stimulation (DBS) is nowadays considered a safe and effective procedure for various movement disorders in which conservative treatments have failed to show significant therapeutic results. One of the most common complications of definitive electrode positioning is intraparenchymal hemorrhage.Materials and methods: Authors report the case of a 55-year-old female patient treated for&nbsp;Parkinson&rsquo;s disease in which intraparenchymal hemorrhage developed after DBS procedure, leading to significant (about 8 mm at the neuroradiological controls) displacement of an otherwise correctly positioned DBS electrode.Results: After conservative management, the hematoma spontaneously resolved. Late neuroradiological controls documented correct, symmetrically positioned electrodes, comparable to the immediate postoperative controls.Conclusions: Six months follow-up endpoint results of the DBS treatment were considered satisfying by an independent neurologist, with modest residual neurological deficits, demonstrating that re-positioning of the electrode was unnecessary in this rare complication.Keywords: deep brain stimulation, electrodes, outcomes, implant, case report
format	article
author	Domenico Servello Marco Sassi Stefano Bastianello Guy Umberto Poloni et al.
author_facet	Domenico Servello Marco Sassi Stefano Bastianello Guy Umberto Poloni et al.
author_sort	Domenico Servello
title	Electrode displacement after intracerebral hematoma as a complication of a deep brain stimulation procedure
title_short	Electrode displacement after intracerebral hematoma as a complication of a deep brain stimulation procedure
title_full	Electrode displacement after intracerebral hematoma as a complication of a deep brain stimulation procedure
title_fullStr	Electrode displacement after intracerebral hematoma as a complication of a deep brain stimulation procedure
title_full_unstemmed	Electrode displacement after intracerebral hematoma as a complication of a deep brain stimulation procedure
title_sort	electrode displacement after intracerebral hematoma as a complication of a deep brain stimulation procedure
publisher	Dove Medical Press
publishDate	2009
url	https://doaj.org/article/ffa41be2a1f74a00a95f7518a8a4d50c
work_keys_str_mv	AT domenicoservello electrodedisplacementafterintracerebralhematomaasacomplicationofadeepbrainstimulationprocedure AT marcosassi electrodedisplacementafterintracerebralhematomaasacomplicationofadeepbrainstimulationprocedure AT stefanobastianello electrodedisplacementafterintracerebralhematomaasacomplicationofadeepbrainstimulationprocedure AT guyumbertopoloni electrodedisplacementafterintracerebralhematomaasacomplicationofadeepbrainstimulationprocedure AT etal electrodedisplacementafterintracerebralhematomaasacomplicationofadeepbrainstimulationprocedure
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Electrode displacement after intracerebral hematoma as a complication of a deep brain stimulation procedure

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