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Drowning hazard with deep brain stimulation: case report.

Omar K Bangash1,2, Megan Thorburn2, Jimena Garcia-Vega1,3

  • 1School of Surgery, University of Western Australia;

Journal of Neurosurgery
|November 14, 2015
PubMed
Summary
This summary is machine-generated.

Deep brain stimulation (DBS) for Parkinson disease (PD) may impair swimming ability, potentially increasing drowning risk. Patients should exercise caution and swim with supervision after DBS surgery.

Keywords:
DBS = deep brain stimulationMDS-UPDRS-III = Movement Disorder Society-Unified Parkinson’s Disease Rating Scale Part III (motor section)PD = Parkinson diseasePSA = posterior subthalamic areaParkinson diseaseSTN = subthalamic nucleuscZI = caudal zona incertadeep brain stimulationdrowningfunctional neurosurgeryposterior subthalamic areaswimming

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Area of Science:

  • Neurology
  • Neurosurgery

Background:

  • Deep brain stimulation (DBS) targets the caudal zona incerta in the posterior subthalamic area for Parkinson disease (PD) and tremor.
  • DBS aims to improve motor control in neurodegenerative conditions.

Observation:

  • A patient with tremor-predominant PD receiving DBS experienced significant difficulty swimming during stimulation.
  • This occurred despite excellent tremor control and a normal neurological examination.

Findings:

  • Anecdotal reports suggest 3 other patients with PD who underwent thalamic/pallidal lesioning or DBS at the center subsequently drowned.
  • DBS may specifically impair the ability to swim, posing a risk for drowning.

Implications:

  • Patients undergoing DBS for PD should be informed about the potential risk of impaired swimming ability.
  • Close supervision during swimming is recommended for patients soon after DBS surgery until further research clarifies this risk.