Failure of Chronic Pallidal Stimulation in Dystonic Patients Is a Medical Emergency

  1. John Yianni MRCS1,
  2. Dipankar Nandi1,
  3. M. Ch2,3,
  4. Jonathan Hyam MB, BS2,
  5. Vanessa Elliott MB, BS2,
  6. Peter Bain FRCP2,
  7. Ralph Gregory FRCP1,
  8. Tipu Aziz , FRCS1,2,3,*

Article first published online: 4 FEB 2004

DOI: 10.1111/j.1525-1403.2004.04008.x

Issue

Neuromodulation: Technology at the Neural Interface

Neuromodulation: Technology at the Neural Interface

Volume 7, Issue 1, pages 9–12, January 2004

Additional Information

How to Cite

Yianni, J., Nandi, D., Ch, M., Hyam, J., Elliott, V., Bain, P., Gregory, R. and Aziz, T. (2004), Failure of Chronic Pallidal Stimulation in Dystonic Patients Is a Medical Emergency. Neuromodulation: Technology at the Neural Interface, 7: 9–12. doi: 10.1111/j.1525-1403.2004.04008.x

Author Information

  1. 1

    The Oxford Movement Disorder Group, Department of Neurological Surgery, The Radcliffe Infirmary, Oxford;

  2. 2

    Division of Neurosciences and Psychological Medicine, Imperial College School of Medicine, Charing Cross Hospital Campus;

  3. 3

    University Department of Physiology, Oxford University, Oxford, United Kingdom

*Address correspondence and reprint requests to: Prof. T. Z. Aziz, Department of Neurological Surgery, The Radcliffe Infirmary, Oxford OX2 6HE, UK. E-mail: tipu.aziz@physiol.ox.ac.uk.

Publication History

  1. Issue published online: 4 FEB 2004
  2. Article first published online: 4 FEB 2004

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Keywords:

  • deep brain stimulation;
  • dystonia;
  • hardware failure

Abstract

Deep brain stimulation (DBS) therapy is a continually expanding field of functional neurosurgery for the treatment of movement disorders and neuropathic pain. However, occurrence of adverse events related to implanted hardware cannot be ignored, particularly in patients with dystonic conditions. We report on two such patients who required emergency hospital admission and pulse generator re-implantation following sudden and unexpected cessation of DBS effectiveness resulting from battery failure.

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