Displaced deep brain stimulators

Case contributed by Yaïr Glick
Diagnosis certain

Presentation

Long-standing Parkinson disease

Patient Data

Age: 65 years
Gender: Male
x-ray
  • implantable pulse generator (IPG) in right chest wall
  • ventriculoperitoneal shunt (VPS) coursing vertically on left
  • tracheostomy cannula
  • left-sided pleural effusion

DBS electrode pair seen tunneling subcutaneously along right parietal bone, not reaching burr holes at coronal sutures. Tracts through brain are evident. VP shunt in left ventricle. 

Case Discussion

The patient had been suffering from Parkinson disease for over 35 years, with eventual vocal cord paralysis. Several years prior to the above radiographic studies, he had deep brain stimulators implanted, but to no avail.

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