Placement of the Internal Pulse Generator for Deep Brain Stimulation in the Upper Back to Prevent Fracture of the Extension Wire due to Generator Rotation: Case Report

Deep brain stimulation (DBS) is a common surgical procedure used for the treatment of Parkinson's disease (PD) and essential tremor. A potential complication of this procedure is hardware failure. The authors report a case of DBS hardware failure in which repeated fractures of the extension wir...

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Main Authors: Ankur Garg, Avinash L. Mohan, P. Charles Garell
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.4061/2010/189371
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author Ankur Garg
Avinash L. Mohan
P. Charles Garell
author_facet Ankur Garg
Avinash L. Mohan
P. Charles Garell
author_sort Ankur Garg
collection DOAJ
description Deep brain stimulation (DBS) is a common surgical procedure used for the treatment of Parkinson's disease (PD) and essential tremor. A potential complication of this procedure is hardware failure. The authors report a case of DBS hardware failure in which repeated fractures of the extension wire were caused by abnormal rotational movements of the IPG placed in the loose subclavicular tissue of an overweight female. Implantation of the IPG in the suprascapular area prevented further extension wire fractures. This strategy may be especially relevant in overweight females with loose subclavicular tissue.
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spelling doaj-art-535445084b6d4b46b52685db78b9631b2025-02-03T01:10:58ZengWileyParkinson's Disease2042-00802010-01-01201010.4061/2010/189371189371Placement of the Internal Pulse Generator for Deep Brain Stimulation in the Upper Back to Prevent Fracture of the Extension Wire due to Generator Rotation: Case ReportAnkur Garg0Avinash L. Mohan1P. Charles Garell2Department of Neurosurgery, New York Medical College, Valhalla, NY 10595, USADepartment of Neurosurgery, New York Medical College, Valhalla, NY 10595, USADepartment of Neurosurgery, New York Medical College, Valhalla, NY 10595, USADeep brain stimulation (DBS) is a common surgical procedure used for the treatment of Parkinson's disease (PD) and essential tremor. A potential complication of this procedure is hardware failure. The authors report a case of DBS hardware failure in which repeated fractures of the extension wire were caused by abnormal rotational movements of the IPG placed in the loose subclavicular tissue of an overweight female. Implantation of the IPG in the suprascapular area prevented further extension wire fractures. This strategy may be especially relevant in overweight females with loose subclavicular tissue.http://dx.doi.org/10.4061/2010/189371
spellingShingle Ankur Garg
Avinash L. Mohan
P. Charles Garell
Placement of the Internal Pulse Generator for Deep Brain Stimulation in the Upper Back to Prevent Fracture of the Extension Wire due to Generator Rotation: Case Report
Parkinson's Disease
title Placement of the Internal Pulse Generator for Deep Brain Stimulation in the Upper Back to Prevent Fracture of the Extension Wire due to Generator Rotation: Case Report
title_full Placement of the Internal Pulse Generator for Deep Brain Stimulation in the Upper Back to Prevent Fracture of the Extension Wire due to Generator Rotation: Case Report
title_fullStr Placement of the Internal Pulse Generator for Deep Brain Stimulation in the Upper Back to Prevent Fracture of the Extension Wire due to Generator Rotation: Case Report
title_full_unstemmed Placement of the Internal Pulse Generator for Deep Brain Stimulation in the Upper Back to Prevent Fracture of the Extension Wire due to Generator Rotation: Case Report
title_short Placement of the Internal Pulse Generator for Deep Brain Stimulation in the Upper Back to Prevent Fracture of the Extension Wire due to Generator Rotation: Case Report
title_sort placement of the internal pulse generator for deep brain stimulation in the upper back to prevent fracture of the extension wire due to generator rotation case report
url http://dx.doi.org/10.4061/2010/189371
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AT pcharlesgarell placementoftheinternalpulsegeneratorfordeepbrainstimulationintheupperbacktopreventfractureoftheextensionwireduetogeneratorrotationcasereport