Factors predicting incremental administration of antihypertensive boluses during deep brain stimulator placement for Parkinson’s disease

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Factors predicting incremental administration of antihypertensive boluses during deep brain stimulator placement for Parkinson's disease.

Hypertension is common in deep brain stimulator (DBS) placement predisposing to intracranial hemorrhage. This retrospective review evaluates factors predicting incremental antihypertensive use intraoperatively. Medical records of Parkinson's disease (PD) patients undergoing DBS procedure between 2008-2011 were reviewed after Institutional Review Board approval. Anesthesia medication, preoperati...

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Dyskinetic Storm Induced by Intra-Operative Deep Brain Stimulator Placement

Transient dyskinesia induced by deep brain stimulation (DBS) for Parkinson’s disease (PD) has previously been reported as an intra-operative side effect usually indicating excellent lead placement and a positive outcome. Generally, stimulation-induced dyskinesia occurs contralateral to the side of stimulation. We report a case in which a patient developed a severe bilateral “dyskinetic storm” u...

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Catatonia during deep brain stimulator implantation complicated by intracranial hemorrhage.

Catatonia is a syndrome of motor dysregulation characterized by fluctuating stupor, mutism, negativism, catalepsy, automatic obedience, and stereotypy. Other motor signs include gegenhalten, mitgehen, waxy flexibility, echophenomena, and ambitendency. The diagnosis requires two to four features. The pathophysiology of catatonia remains unclear but may involve dysfunction of frontal circuitry an...

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An Analysis of Scalp Thickness and Other Novel Risk Factors for Deep Brain Stimulator Infections

INTRODUCTION  Deep brain stimulator (DBS) infections are a persistent problem for patients undergoing this procedure. They may require further surgery, treatment with antibiotics, or even removal of the device. To date, no consensus exists on the best practices to avoid DBS infections or what factors predispose patients to an eventual infection. The goal of this study was to examine several pat...

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Deep Brain Stimulation of the Subthalamic Nucleus Improves Lexical Switching in Parkinsons Disease Patients

OBJECTIVE Reduced verbal fluency (VF) has been reported in patients with Parkinson's disease (PD), especially those treated by Deep Brain Stimulation of the subthalamic nucleus (STN DBS). To delineate the nature of this dysfunction we aimed at identifying the particular VF-related operations modified by STN DBS. METHOD Eleven PD patients performed VF tasks in their STN DBS ON and OFF conditio...

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ژورنال

عنوان ژورنال: Journal of Clinical Neuroscience

سال: 2014

ISSN: 0967-5868

DOI: 10.1016/j.jocn.2014.04.005