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

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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 comp...

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Principais autores: 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
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Idioma:pt_BR
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Assuntos:
anatomy
ureter
Pathology
Urinary Calculi
Ureteral Calculi
Surgical Approach
Laparoscopy
Transperitoneal
Surgical Procedures
Ureteral Surgery
Ileal Ureter
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spelling ri-123456789-527572023-06-19T19:54:41Z 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. 2023-06-19T19:54:26Z 2023-06-19T19:54:26Z 2022-03 article 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 pt_BR
institution Repositório Institucional
collection RI - UFRN
language pt_BR
topic anatomy
ureter
Pathology
Urinary Calculi
Ureteral Calculi
Surgical Approach
Laparoscopy
Transperitoneal
Surgical Procedures
Ureteral Surgery
Ileal Ureter
spellingShingle anatomy
ureter
Pathology
Urinary Calculi
Ureteral Calculi
Surgical Approach
Laparoscopy
Transperitoneal
Surgical Procedures
Ureteral Surgery
Ileal Ureter
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
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.
format article
author 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_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_sort Aquino, Bárbara Cristina Vieira de
title 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_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_sort accessory nerve injury after deep brain stimulation surgery in a parkinson’s disease patient
publishDate 2023
url https://repositorio.ufrn.br/handle/123456789/52757
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