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Αλέξανδρος Γ. Σφακιανάκης

Tuesday, November 24, 2020

DBS dysfunction mimicking transient ischemic attacks-a case report.

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DBS dysfunction mimicking transient ischemic attacks-a case report.

Acta Neurochir (Wien). 2020 05;162(5):1077-1079

Authors: Allert N, Jin W, Toulaki X, Coenen VA

Abstract
We report on a patient with thalamic deep brain stimulation (DBS) for essential tremor who was admitted to a stroke unit with transient vertigo, dysarthria, and gait disturbance. Transient ischemic attacks were assumed but fluctuating neurological symptoms persisted until presentation to a DBS center. Here, unstable high monopolar impedances of the right-hemispheric electrode contacts were detected. Surgical revision revealed a fracture of the pocket adaptor connecting this electrode to the impulse generator. Replacement resulted in stable impedances and remitted the transient neurological symptoms. Emergency and stroke doctors should be aware of neurological symptoms induced by technical dysfunctions in DBS.

PMID: 32034494 [PubMed - indexed for MEDLINE]

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