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BMJ Case Reports 2017; doi:10.1136/bcr-2017-223264
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Complication of deep brain stimulation for Parkinson’s disease

  1. Luís Bento3
  1. 1Medicina 2.1, Centro Hospitalar de Lisboa Central EPE, Lisboa, Portugal
  2. 2Servico de Neurocirurgia, Centro Hospitalar de Lisboa Central EPE, Lisboa, Portugal
  3. 3Unidade de Urgencia Medica, Hospital de Sao Jose, Lisboa, Portugal
  1. Correspondence to Dr Catarina Costa, costa.catarina{at}gmail.com
  • Accepted 19 November 2017
  • Published 6 December 2017

Description

A 58-year-old man with advanced Parkinson disease diagnosed 13 years before, was admitted for surgical placing of continuous bilateral high-frequency stimulation of the subthalamic nucleus.

The procedure was uneventful (lead used Medtronic DBS 3387; antibiotic prophylaxis: cefazolin 2 g at time of anaesthetic induction and 1 g every 8 hours in the first 24 hours) with a postoperative control CT scan showing good placement of the electrodes and no abnormalities (figure 1). The stimulation was switched on 72 hours after the procedure and within 24 hours the patient presented two epileptic seizures controlled …

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