Deep brain stimulation complicated by bilateral large cystic cavitation around the leads in a patient with Parkinson's disease

Jonathan Jagid; Karthik Madhavan; Neel Desai; Amade Bregy; Mehul Desai; Armando Ruiz; Robert Quencer; Howard J. Landy

doi:10.1136/bcr-2015-211470

Deep brain stimulation complicated by bilateral large cystic cavitation around the leads in a patient with Parkinson's disease

Jonathan Jagid, Karthik Madhavan, Neel Desai, Amade Bregy, Mehul Desai, Armando Ruiz, Robert Quencer, Howard J. Landy

Research output: Contribution to journal › Article

8 Scopus citations

Abstract

Deep brain stimulation (DBS) is an approved and effective therapy for patients suffering from advanced Parkinson's disease (PD). Several clinical trials have indicated significant motor function improvement in patients undergoing subthalamic nucleus stimulation. This therapy is, rarely, associated with complications, mostly related to infections, seizures or stimulationinduced side effects. We report a case of a 71-year-old man with a 10-year history of PD who underwent bilateral placement of subthalamic nucleus DBS. As a complication, the patient showed subjective postoperative cognitive decline, and subsequent MRI showed peri-lead oedema, which progressed to large cystic cavitation around the leads without indication of infection. The patient received steroid therapy and the cavitations regressed without surgical intervention.

Original language	English (US)
Article number	211470
Journal	BMJ Case Reports
Volume	2015
DOIs	https://doi.org/10.1136/bcr-2015-211470
State	Published - Oct 16 2015

ASJC Scopus subject areas

Medicine(all)

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Jagid, J., Madhavan, K., Desai, N., Bregy, A., Desai, M., Ruiz, A., Quencer, R., & Landy, H. J. (2015). Deep brain stimulation complicated by bilateral large cystic cavitation around the leads in a patient with Parkinson's disease. BMJ Case Reports, 2015, [211470]. https://doi.org/10.1136/bcr-2015-211470

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