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Severe agitation following deep brain stimulation for parkinsonism

Published online by Cambridge University Press:  11 May 2015

Nicholas G.W. Rose ,
Michael Mostrenko ,
Jacqueline McMaster  and
Christopher R. Honey
Nicholas G.W. Rose*
Affiliation:
Department of Emergency Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, BC
Michael Mostrenko
Affiliation:
Department of Emergency Medicine, Royal Columbian Hospital, New Westminster, BC
Jacqueline McMaster
Affiliation:
Division of Neurosurgery, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, BC
Christopher R. Honey
Affiliation:
Division of Neurosurgery, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, BC
*
Department of Emergency Medicine, Vancouver General Hospital, 855 West 12th Avenue, Vancouver, BC; nrose@interchange.ubc.ca

Abstract:

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The use of deep brain stimulation has become increasingly common for the treatment of movement disorders, including Parkinson disease. Although deep brain stimulation is generally very successful in alleviating the extrapyramidal symptoms of Parkinson disease, side effects can occur. This case report describes a patient presenting to the emergency department in a state of extreme aggression 3 days after a change in the parameters of his bilateral subthalamic nucleus stimulator. We review the complications of deep brain stimulation relevant to the emergency physician and provide some practical information on stimulator adjustment in an emergency.

Keywords

complicationsdeep brain stimulationParkinson diseasesubthalamic nucleus
Type
Case Report • Rapport de cas
Information
Canadian Journal of Emergency Medicine , Volume 13 , Issue 4 , July 2011 , pp. 279 - 283
Copyright
Copyright © Canadian Association of Emergency Physicians 2011

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