Accessory nerve injury after deep brain stimulation surgery in a Parkinson’s disease patient

DBS is an established form of surgical therapy for Parkinson's disease and is also used for other pathologies, such as dystonia and essential tremor. There are few articles in the literature discussing exclusively about surgical complications. In fact, most papers describe surgical-related complicat...

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Authors: Aquino, Bárbara Cristina Vieira de; Pessoa Neto, Agábio Diógenes; Dourado Junior, Mário Emílio Teixeira; Dantas, Sérgio Adrian Fernandes; Silva, Rodrigo Alencar e; Godeiro Junior, Clécio de Oliveira
Format: Article
Status:Published version
Publication date:2022
Country:Brasil
Institution:UFRN
Repository:Repositório Institucional da UFRN
Language:Portuguese
OAI Identifier:oai:repositorio.ufrn.br:123456789/52757
Online Access:https://repositorio.ufrn.br/handle/123456789/52757
Access Level:Open access
Keyword:anatomy
ureter
Pathology
Urinary Calculi
Ureteral Calculi
Surgical Approach
Laparoscopy
Transperitoneal
Surgical Procedures
Ureteral Surgery
Ileal Ureter
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author Aquino, Bárbara Cristina Vieira de
author2 Pessoa Neto, Agábio Diógenes
Dourado Junior, Mário Emílio Teixeira
Dantas, Sérgio Adrian Fernandes
Silva, Rodrigo Alencar e
Godeiro Junior, Clécio de Oliveira
author2_role author
author
author
author
author
author_browse Aquino, Bárbara Cristina Vieira de
Dantas, Sérgio Adrian Fernandes
Dourado Junior, Mário Emílio Teixeira
Godeiro Junior, Clécio de Oliveira
Pessoa Neto, Agábio Diógenes
Silva, Rodrigo Alencar e
author_facet Aquino, Bárbara Cristina Vieira de
Pessoa Neto, Agábio Diógenes
Dourado Junior, Mário Emílio Teixeira
Dantas, Sérgio Adrian Fernandes
Silva, Rodrigo Alencar e
Godeiro Junior, Clécio de Oliveira
author_role author
collection Repositório Institucional da UFRN
description DBS is an established form of surgical therapy for Parkinson's disease and is also used for other pathologies, such as dystonia and essential tremor. There are few articles in the literature discussing exclusively about surgical complications. In fact, most papers describe surgical-related complications such seizures, device infection, hemorrhage and permanent deficit. However, less usual complications can also occur, as in the case described below, of an injury to the accessory nerve after the DBS procedure. We describe a case of a 56-year-old woman with PD who underwent to STN DBS, presented hypotrophy and weakness of the right trapezius after the surgery. Electroneuromyography (ENMG) suggested partial right spinal accessory injury. Patient recovery spontaneously 5 months after surgery. While DBS promises dramatic improvement in select PD symptoms, it can have disappointing or even serious adverse results. This paper ratifies the need of screening of accessory nerve injury for early rehabilitation.
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instname_str Universidade Federal do Rio Grande do Norte (UFRN)
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oai_identifier_str oai:repositorio.ufrn.br:123456789/52757
publishDate 2022
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spelling Accessory nerve injury after deep brain stimulation surgery in a Parkinson’s disease patient Aquino, Bárbara Cristina Vieira de Pessoa Neto, Agábio Diógenes Dourado Junior, Mário Emílio Teixeira Dantas, Sérgio Adrian Fernandes Silva, Rodrigo Alencar e Godeiro Junior, Clécio de Oliveira anatomy ureter Pathology Urinary Calculi Ureteral Calculi Surgical Approach Laparoscopy Transperitoneal Surgical Procedures Ureteral Surgery Ileal Ureter DBS is an established form of surgical therapy for Parkinson's disease and is also used for other pathologies, such as dystonia and essential tremor. There are few articles in the literature discussing exclusively about surgical complications. In fact, most papers describe surgical-related complications such seizures, device infection, hemorrhage and permanent deficit. However, less usual complications can also occur, as in the case described below, of an injury to the accessory nerve after the DBS procedure. We describe a case of a 56-year-old woman with PD who underwent to STN DBS, presented hypotrophy and weakness of the right trapezius after the surgery. Electroneuromyography (ENMG) suggested partial right spinal accessory injury. Patient recovery spontaneously 5 months after surgery. While DBS promises dramatic improvement in select PD symptoms, it can have disappointing or even serious adverse results. This paper ratifies the need of screening of accessory nerve injury for early rehabilitation. AQUINO, Bárbara Cristina Vieira de; PESSOA NETO, Agábio Diógenes; DOURADO JUNIOR, Mário Emílio Teixeira; DANTAS, Sérgio Adrian Fernandes; SILVA, Rodrigo Alencar e; GODEIRO JUNIOR, Clécio de Oliveira. Accessory nerve injury after deep brain stimulation surgery in a Parkinson’s disease patient. Interdisciplinary Neurosurgery, [S.L.], v. 27, p. 101405, mar. 2022. Elsevier BV. http://dx.doi.org/10.1016/j.inat.2021.101405. Disponível em: https://www.liebertpub.com/doi/full/10.1089/vid.2012.0058#accessDenial. Acesso em: 19 jun. 2023. https://repositorio.ufrn.br/handle/123456789/52757 doi.org/10.1089/vid.2012.0058 ark:/41046/001300000bt1b
spellingShingle Accessory nerve injury after deep brain stimulation surgery in a Parkinson’s disease patient
Aquino, Bárbara Cristina Vieira de
anatomy
ureter
Pathology
Urinary Calculi
Ureteral Calculi
Surgical Approach
Laparoscopy
Transperitoneal
Surgical Procedures
Ureteral Surgery
Ileal Ureter
status_str publishedVersion
title Accessory nerve injury after deep brain stimulation surgery in a Parkinson’s disease patient
title_full Accessory nerve injury after deep brain stimulation surgery in a Parkinson’s disease patient
title_fullStr Accessory nerve injury after deep brain stimulation surgery in a Parkinson’s disease patient
title_full_unstemmed Accessory nerve injury after deep brain stimulation surgery in a Parkinson’s disease patient
title_short Accessory nerve injury after deep brain stimulation surgery in a Parkinson’s disease patient
title_sort Accessory nerve injury after deep brain stimulation surgery in a Parkinson’s disease patient
topic anatomy
ureter
Pathology
Urinary Calculi
Ureteral Calculi
Surgical Approach
Laparoscopy
Transperitoneal
Surgical Procedures
Ureteral Surgery
Ileal Ureter
topic_facet anatomy
ureter
Pathology
Urinary Calculi
Ureteral Calculi
Surgical Approach
Laparoscopy
Transperitoneal
Surgical Procedures
Ureteral Surgery
Ileal Ureter
url https://repositorio.ufrn.br/handle/123456789/52757