Description of Event or Problem · 1
JOURNAL REFERENCE: GRANZIERA C, POLLO C, RUSSMAN H, ET AL. SUB-ACUTE DELAYED FAILURE OF SUBTHALAMIC DBS IN PARKINSON'S DISEASE: THE ROLE OF MICRO-LESION EFFECT. PARKINSONISM RELAT DISORD 2008: 14(2):109-113. WE REVIEWED A COHORT OF 56 PD PATIENTS THAT UNDERWENT BILATERAL STEREOTACTIC STN IMPLANTATION AND WE STUDIED A SUBSET OF FIVE PATIENTS THAT, AFTER EARLY CLINICAL IMPROVEMENT, DEVELOPED A RAPIDLY PROGRESSIVE NEUROLOGICAL DETERIORATION UNRESPONSIVE TO DBS. PATIENTS PRESENTING DELAYED FAILURE (DF) DID NOT DIFFER FROM THE REST OF THE COHORT BY ANY OF THE PRE-OPERATIVE CHARACTERISTICS; THEREFORE, THE PRESENCE OF THIS MICRO-LESIONING EFFECT MIGHT BE CONSIDERED AS WARNING SIGN FOR PATIENTS THAT NEED A CAREFUL FOLLOW-UP. REPORTABLE EVENT: ALL COMPLAINED OF POSTURAL INSTABILITY LEADING TO FALLS IN FOUR PATIENTS.