ISSN 1738-6217 (Print)
View Full Text

J Kor Soc Ster Func Neurosurg. 2018 14(2): 42-46
ⓒ Journal of the Korean Society of Stereotactic and Functional Neurosurgery
Chronic Subdural Hematoma after Deep Brain Stimulation for Parkinson??s Disease with a Lack of Post-Operative Stimulatory Effect: A Case Report
Myung-Ji Kim, MD, Kyuha Chong, MD, Wonki Yoon, MD, Jong-Hyun Kim, MD
Department of Neurosurgery, Korea University Guro Hospital, Seoul, Korea

We report a patient who had a bilateral burr-hole drainage due to the development of chronic subdural hematoma after deep brain stimulation (DBS) for the advanced Parkinson??s disease. The patient showed significant improvement during intraoperative test stimulation with the absence of significant abnormal radiologic findings at the immediate postoperative CT scans. Postoperative course showed progressive deterioration of preoperative akinetic symptoms without notable benefit from therapeutic stimulation. CT scans two months after the surgery showed significant amount of chronic subdural hematoma with the upward displacement of implanted electrodes from the original targets. Bilateral burr-hole drainage was needed because of neurologic deterioration, with a special attention not to disrupt the previously implanted DBS hardware system. Follow-up CT scan revealed resolution of subdural hematoma and return of migrated electrode to its original position. Without DBS lead revision, the patient experienced benefits from the bilateral DBS therapy on follow-up.
Key words : Deep brain stimulation, Chronic subdural hematoma, Parkinson??s disease, Burr-hole drainage.
중심단어 : Deep brain stimulation, Chronic subdural hematoma, Parkinson??s disease, Burr-hole drainage.

Tel: 02-2227-4251 Fax: 02-393-9979 Copyrightⓒ The Korean society of stereotactic and functional neurosurgery. All rights reserved.