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Headache as a Presenting Symptom of Deep Brain Stimulator Generator Failure
Journal article   Open access   Peer reviewed

Headache as a Presenting Symptom of Deep Brain Stimulator Generator Failure

Trevor Luck, Dorian M Kusyk and Donald Whiting
Curēus (Palo Alto, CA), v 13(7), 16726
29 Jul 2021
DOI: https://doi.org/10.7759/cureus.16726
PMID: 34471578
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.7759/cureus.16726View
Published, Version of Record (VoR) Open

Abstract

Neurology Neurosurgery
While a headache can have a wide variety of clinical presentations, it may occasionally be a red flag for underlying pathology that should prompt further investigation. Here, we present a case report demonstrating headache as an uncommon symptom of deep brain stimulation (DBS) device failure and discuss its clinical significance in the rapidly expanding list of current indications of DBS treatment. A 61-year-old female underwent bilateral hypothalamic DBS implantation for refractory morbid obesity. After a successful course involving significant weight loss, the patient began to experience worsening of her chronic headaches, refractory to her existing regiment. On interrogation, her generator was found to be depleted and its subsequent replacement led to a near total resolution of her headaches. This represents one of the few reported instances of headache as a sign of device failure in DBS treatment, thus adding to the wide possibility of headache presentations and their underlying pathology.

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2 citations in Web of Science

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
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