Journal article
Delayed intracerebral hemorrhage: A rare complication of deep brain stimulation surgery
Interdisciplinary neurosurgery : Advanced techniques and case management, v 14
01 Dec 2018
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background/aims: Deep brain stimulation (DBS) has been a proven safe treatment option for a variety of neurological diseases. Nonetheless, it carries various potential risks including intracerebral hemorrhage (ICH), cerebral ischemia, seizures, and infection. The majority of hemorrhages are found immediately post-operatively; however, delayed hemorrhages, which are extremely rare, have been reported.
Methods: Case presentation of a patient who developed a large ICH after undergoing bilateral DBS lead placement for dystonia with an initial negative CT scan immediately after surgery, as well as a negative 24 hour postoperative scan. Literature review on delayed ICH in DBS surgery was performed.
Results: The risk of ICH, both asymptomatic and those causing neurologic deficit, have been reported ranging from 0.5-6.7%. The majority of those reported have been found on immediate post-operative imaging; however, there have been few reports of delayed ICH that were not present on the initial post-operative scan.
Conclusion: DBS is a safe surgical option for patients with various neurological and movement disorders. Although the risk of ICH is low, delayed hemorrhages are possible and can be a devastating complication all clinicians must be aware of and be prepared for in order to better manage and treat patients.
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Details
- Title
- Delayed intracerebral hemorrhage: A rare complication of deep brain stimulation surgery
- Creators
- Chen Xu - Allegheny General HospitalGordon Mao - Allegheny General HospitalRichard Williamson - Allegheny General HospitalDonald Whiting - Allegheny Health Network
- Publication Details
- Interdisciplinary neurosurgery : Advanced techniques and case management, v 14
- Publisher
- Elsevier
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- SOM Dean - Research Administration
- Web of Science ID
- WOS:000449670000034
- Scopus ID
- 2-s2.0-85052464422
- Other Identifier
- 991021463426604721
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- Web of Science research areas
- Clinical Neurology