Single-Center Complication Analysis Associated with Surgical Replacement of Implantable Pulse Generators in Deep Brain Stimulation

2019 ◽  
Vol 97 (2) ◽  
pp. 101-105 ◽  
Author(s):  
Yislenz Narváez-Martínez ◽  
Pedro Roldán Ramos ◽  
John Alexander Hoyos ◽  
Diego Culebras ◽  
Yaroslau Compta ◽  
...  
Keyword(s):  
Deep Brain Stimulation ◽  
Brain Stimulation ◽  
Single Center ◽  
Pulse Generators ◽  
Deep Brain

Surgical Replacement of Implantable Pulse Generators in Deep Brain Stimulation: Adverse Events and Risk Factors in a Multicenter Cohort

2016 ◽  
Vol 94 (4) ◽  
pp. 235-239 ◽  
Author(s):  
Anders Fytagoridis ◽  
Tomas Heard ◽  
Jennifer Samuelsson ◽  
Peter Zsigmond ◽  
Elena Jiltsova ◽  
...  
Keyword(s):  
Risk Factors ◽  
Deep Brain Stimulation ◽  
Adverse Events ◽  
Brain Stimulation ◽  
Pulse Generators ◽  
Multicenter Cohort ◽  
Deep Brain

Diplopia associated with loop routing in deep brain stimulation: illustrative case

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Yasushi Miyagi ◽  
Eiichirou Urasaki
Keyword(s):  
Deep Brain Stimulation ◽  
Brain Stimulation ◽  
Electromagnetic Interference ◽  
Illustrative Case ◽  
Pulse Generators ◽  
Replacement Surgery ◽  
Dual Channel ◽  
Stimulation Parameters ◽  
External Sources ◽  
Deep Brain

BACKGROUNDDeep brain stimulation (DBS) is a powerful surgical option for drug-resistant movement disorders; however, electromagnetic interference (EMI) from external sources poses a potential risk for implanted electronics.OBSERVATIONSA 61-year-old woman with Parkinson’s disease originally had two implantable pulse generators (IPGs) for bilateral subthalamic DBS, which were then replaced with one dual-channel IPG routed in a loop. After the replacement surgery, with the same DBS programming as before the IPG replacement (bipolar setting for right, unipolar setting for left), the patient began to complain of transient paroxysmal diplopia. After multiple attempts to adjust the stimulation parameters, the diplopia was resolved by changing the left unipolar setting to a bipolar setting. At the authors’ institution, before the present case, four other patients had undergone IPG replacement with loop routing. None of these previous patients complained of diplopia; however, two of the four presented with diplopia in an experimental unipolar setting.LESSONSClinicians should be aware that loop-routed circuits may generate distortion of the stimulus field in DBS, even in the absence of external EMI sources.

scholarly journals Characterization of the stimulus waveforms generated by implantable pulse generators for deep brain stimulation

2018 ◽  
Vol 129 (4) ◽  
pp. 731-742 ◽  
Author(s):  
Scott F. Lempka ◽  
Bryan Howell ◽  
Kabilar Gunalan ◽  
Andre G. Machado ◽  
Cameron C. McIntyre
Keyword(s):  
Deep Brain Stimulation ◽  
Brain Stimulation ◽  
Pulse Generators ◽  
Deep Brain

Management of Pulse Generators in a Breast Cancer Patient with in Situ Subthalamic Nucleus Deep Brain Stimulation

2019 ◽  
Vol 80 (03) ◽  
pp. 223-227 ◽  
Author(s):  
Byung-chul Son ◽  
Joong-Seok Kim ◽  
Woo-Chan Park ◽  
Hak-cheol Ko
Keyword(s):  
Breast Cancer ◽  
Deep Brain Stimulation ◽  
Subthalamic Nucleus ◽  
Brain Stimulation ◽  
Anterior Chest Wall ◽  
Open Circuit ◽  
Imaging Studies ◽  
Pulse Generators ◽  
Stn Dbs ◽  
Deep Brain

Although deep brain stimulation (DBS) has been used for > 25 years in the treatment of movement disorders, no report has been published on the management of DBS pulse generators implanted in the anterior chest in patients with breast cancer who require mastectomy, radiotherapy, and future imaging studies.We describe a 62-year-old female patient with advanced Parkinson's disease (PD) who was dependent on bilateral subthalamic nucleus (STN) DBS. She was diagnosed with cancer in her left breast. To avoid difficulties in imaging studies, surgery, and radiotherapy related to the breast cancer, bilateral pulse generators for STN DBS previously implanted in the anterior chest wall were repositioned to the anterior abdominal wall with replacement of long extension cables. During mastectomy and the relocation of the pulse generators, we were not aware of the risks of an open circuit and neuroleptic malignant-like syndrome due to our limited knowledge about how to manage DBS hardware.Coincident breast cancer and the need for STN DBS is underreported. Considering the uncertainties in the management of pulse generators and the incidence of breast cancer, guidelines for handling DBS hardware in the setting of cancer are needed. More careful attention should be paid to performing magnetic resonance imaging in DBS-dependent patients with chronic PD.

Complications of Impulse Generator Exchange Surgery for Deep Brain Stimulation: A Single-Center, Retrospective Study

2018 ◽  
Vol 113 ◽  
pp. e108-e112 ◽  
Author(s):  
Ann-Kristin Helmers ◽  
Isabel Lübbing ◽  
Falk Birkenfeld ◽  
Karsten Witt ◽  
Michael Synowitz ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Deep Brain Stimulation ◽  
Brain Stimulation ◽  
Single Center ◽  
Impulse Generator ◽  
Deep Brain
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