We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Position-Dependent Dysfunction of Deep Brain Stimulation in Tourette Syndrome: Diagnostic Clues.
- Authors
Wolf, Marc E.; Majewski, Olaf; Müller-Vahl, Kirsten R.; Blahak, Christian; Schulte, Dirk-Michael; Krauss, Joachim K.
- Abstract
Background: Detection of defective deep brain stimulation (DBS) contacts/electrodes is sometimes challenging. Case Report: We report a patient with Tourette syndrome (TS), who presented with abrupt tic increase and mild generalized headache 9 years after DBS implantation. On the suspicion of a hardware defect, a fracture of the DBS electrode and extension lead was ruled out by radiography and standard implantable pulse generator readouts. Further investigation revealed position-dependent modifiable therapeutic impedances, suggesting an impaired contact of the extension lead/adaptor. After replacement normal impedances were recorded, and the patient fully recovered. Discussion: In DBS dysfunction with inconspicuous hardware check, position-dependent defects might be suspected.
- Subjects
DEEP brain stimulation; TOURETTE syndrome; HEADACHE; ELECTRODES; PULSE generators
- Publication
Tremor & Other Hyperkinetic Movements, 2019, p1
- ISSN
2160-8288
- Publication type
Article
- DOI
10.7916/tohm.v0.713