Cerebrospinal Fluid Leak to the IPG Subcutaneous Pocket after Deep Brain Stimulation Implantation: A Case Report
Jazyk angličtina Země Švýcarsko Médium print-electronic
Typ dokumentu kazuistiky, práce podpořená grantem, časopisecké články
PubMed
31852004
DOI
10.1159/000504680
PII: 000504680
Knihovny.cz E-zdroje
- Klíčová slova
- Adverse events, Cerebrospinal fluid leak, Deep brain stimulation, Neurosurgery, Subcutaneous pocket,
- MeSH
- drenáž metody MeSH
- hluboká mozková stimulace škodlivé účinky MeSH
- lidé středního věku MeSH
- lidé MeSH
- nucleus subthalamicus chirurgie MeSH
- Parkinsonova nemoc diagnóza chirurgie MeSH
- pooperační komplikace etiologie chirurgie MeSH
- retrospektivní studie MeSH
- únik mozkomíšního moku etiologie chirurgie MeSH
- výsledek terapie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- práce podpořená grantem 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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