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[Bowstringing as a complication of deep brain stimulation].

Daniel Castro Bouzas¹, Ramón Serramito García, José Luis Relova Quinteiro

¹Servicio de Neurocirugía, Departamento de Cirugía, Hospital Clínico Universitario de Santiago, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España.

Neurocirugia (Asturias, Spain)

|December 19, 2012

Summary

This summary is machine-generated.

Deep brain stimulation (DBS) complications can include bowstringing, where leads tether abnormally, causing neck pain. This rare issue, seen after DBS lead replacement in a Parkinson's patient, may require surgical intervention.

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Area of Science:

Neurosurgery
Neurology
Biomedical Engineering

Background:

Deep brain stimulation (DBS) is a standard surgical treatment for movement disorders like Parkinson's disease.
The increasing use of DBS has led to a rise in reported complications.
Bowstringing is a specific complication involving abnormal lead tethering, causing neck pain and contracture.

Observation:

A 56-year-old female Parkinson's patient experienced neck pain and tension six months after DBS lead replacement.
The pain localized to the area of the deep brain extension cables.
A previous car accident had caused rupture and replacement of the right DBS electrode.

Findings:

The patient presented with disabling neck pain and tension, characteristic of the bowstringing complication.
Surgical intervention involving cervical incision and scar tissue excision was performed.
Bowstringing is a rare but significant complication of DBS, particularly after lead revision.

Implications:

This case highlights the potential for bowstringing after DBS lead replacement or revision.
While often managed conservatively, severe cases may necessitate surgical intervention.
Understanding and identifying DBS complications like bowstringing is crucial for patient management and outcomes.