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Hippocampal deep brain stimulation: persistent seizure control after bilateral extra-cranial electrode fracture

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Abstract

Hippocampal deep brain stimulation (DBS) can provide an effective alternative for intractable temporal lobe epilepsy. In this case report, we describe a peculiar outcome after a post-traumatic wire-disconnection of a bilateral hippocampal DBS device. The patient presented a postoperative long-term significant reduction in seizure frequency even with an absent electric stimulation. This case gives the possibility to consider alternatives in epilepsy surgery, based on stimulation interference (lesional or electrical disturbing) in the epileptogenic zone.

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Authors and Affiliations

  1. Department of Neurosurgery, San Bortolo Hospital, Viale Rodolfi, 37, 36100, Vicenza, Italy

    Massimo Piacentino, Giacomo Beggio & Lara Zordan

  2. IRCS A. Meda, Conegliano, Italy

    Paolo Bonanni

Authors
  1. Massimo Piacentino
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  2. Giacomo Beggio
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  3. Lara Zordan
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  4. Paolo Bonanni
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Correspondence to Massimo Piacentino.

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Piacentino, M., Beggio, G., Zordan, L. et al. Hippocampal deep brain stimulation: persistent seizure control after bilateral extra-cranial electrode fracture. Neurol Sci 39, 1431–1435 (2018). https://doi.org/10.1007/s10072-018-3444-9

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  • DOI: https://doi.org/10.1007/s10072-018-3444-9

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