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Hydrocephalus after Deep Brain Stimulation for Parkinson's Disease
Edvin Zekaj1, Christian Saleh1, Domenico Servello1
1Department of Neurosurgery, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Asian Journal of Neurosurgery
|May 31, 2019
Summary
Deep brain stimulation (DBS) can cause intracranial hemorrhage, a rare but serious complication. Prompt external ventricular drainage is crucial for acute hydrocephalus following DBS to prevent fatal outcomes.
Area of Science:
- Neurosurgery
- Neurology
- Medical Complications
Background:
- Deep brain stimulation (DBS) is a therapeutic intervention for various neurological disorders.
- Intracranial hemorrhage is a known, albeit infrequent, complication of DBS surgery.
- Hemorrhage can range from asymptomatic to life-threatening, with reported incidence rates between 0.5% and 5%.
Observation:
- A rare consequence of intracranial hemorrhage post-DBS is acute hydrocephalus.
- This obstruction of cerebrospinal fluid flow can rapidly lead to severe neurological deficits or death.
- The case highlights a patient developing acute hydrocephalus secondary to intraventricular hemorrhage after DBS.
Findings:
- Intraventricular hemorrhage after DBS can precipitate acute hydrocephalus.
- Timely intervention with external ventricular drainage is critical for managing this complication.
- Failure to promptly address the hydrocephalus can result in catastrophic outcomes.
Implications:
- Patients undergoing DBS must be informed about the risk of intracranial hemorrhage and subsequent acute hydrocephalus.
- Enhanced vigilance and preparedness for managing this rare complication are essential in neurosurgical centers.
- This case underscores the importance of early diagnosis and intervention for hydrocephalus following DBS procedures.