Cerebrospinal Fluid Leak to the IPG Subcutaneous Pocket after Deep Brain Stimulation Implantation: A Case Report
Language English Country Switzerland Media print-electronic
Document type Case Reports, Research Support, Non-U.S. Gov't, Journal Article
PubMed
31852004
DOI
10.1159/000504680
PII: 000504680
Knihovny.cz E-resources
- Keywords
- Adverse events, Cerebrospinal fluid leak, Deep brain stimulation, Neurosurgery, Subcutaneous pocket,
- MeSH
- Drainage methods MeSH
- Deep Brain Stimulation adverse effects MeSH
- Middle Aged MeSH
- Humans MeSH
- Subthalamic Nucleus surgery MeSH
- Parkinson Disease diagnosis surgery MeSH
- Postoperative Complications etiology surgery MeSH
- Retrospective Studies MeSH
- Cerebrospinal Fluid Leak etiology surgery MeSH
- Treatment Outcome MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- Research Support, Non-U.S. Gov't MeSH
This case report presents a 54-year-old Parkinson´s disease patient who underwent a DBS implantation to the subthalamic nuclei bilaterally. Shortly after the operation, the subcutaneous pocket of the generator filled with a liquid. Repeated aspirations did not show any bacterial contamination, and an infection was not found. In the sample, a beta-trace protein was detected that proved the presence of cerebrospinal fluid. A lumbar drain was immediately placed, and a chest compression bandage was fastened for 7 days. After removing the lumbar drain and the compression bandage, no additional liquid was observed, and the wound healed without any other complication. We present an unusual adverse event related to DBS surgery and suggest an effective treatment that has led to uncomplicated healing.
Department of Neurosurgery Na Homolce Hospital Prague Czechia
Department of Stereotactic and Radiation Neurosurgery Na Homolce Hospital Prague Czechia
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