Painful cervical dystonia triggered by the extension wire of a deep brain stimulator

F. Spagnolo, P. Picozzi, A. Franzin, V. Martinelli, G. Comi, M. A. Volonte

Research output: Contribution to journalArticlepeer-review

Abstract

Deep brain stimulation (DBS) can be complicated by adverse events, which are generally classified as surgical-hardware or stimulation-related. Here we report the onset of a painful cervical dystonia probably triggered by the extension wire of a subthalamic nucleus (STN)-DBS device in a woman suffering from advanced Parkinson's disease (PD). Two months after implantation of the STN-DBS device, our patient developed a painful cervical dystonia, which was not responsive to neurostimulation or to medication. No sign of infections or fibrosis was detected. A patch test with the components of the device was performed, revealing no hypersensibility. The patient was referred back to surgery to reposition the pulse generator in the contralateral subclavian region. A deeper channeling of the wire extensions produced a complete remission of the painful dystonia.

Original languageEnglish
Pages (from-to)1582-1583
Number of pages2
JournalJournal of Clinical Neuroscience
Volume19
Issue number11
DOIs
Publication statusPublished - Nov 2012

Keywords

  • Adverse effects
  • Deep brain stimulation
  • Dystonia
  • Parkinson's disease

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Physiology (medical)

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