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Painful Pressure Atrophy of the Skull Following Epicranial Cable Placement in Deep Brain Stimulation: a Case Report

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Abstract

As a growing number of centers worldwide perform deep brain stimulation as a standard procedure, many authors have analyzed its characteristic hardware-related problems. Here, we demonstrate a case of hardware-related painful bone atrophy that highlights the importance of careful cable placement. A 68-year-old female patient with an implanted DBS system presents with pain of the mediosagittal cranial aspect of the head. Upon removal of the DBS system, pressure atrophy of the skull is observed below a compacted cable loop. Postoperatively, the patient reported full alleviation of the pressure sensation and pain.

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Authors and Affiliations

  1. Department for Stereotaxy and Functional Neurosurgery, Center of Neurosurgery, Cologne-Merheim Medical Center (CMMC), University of Witten/Herdecke, Ostmerheimer Str. 200, 51109, Cologne, Germany

    Simon Schieferdecker, Mohammad Maarouf, Ronald Richter & Faycal El Majdoub

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  1. Simon Schieferdecker
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  2. Mohammad Maarouf
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  3. Ronald Richter
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  4. Faycal El Majdoub
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Correspondence to Mohammad Maarouf.

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The author MM has a general consulting agreement with MEDTRONIC. The other authors declare no financial disclosure.

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The patient gave written consent to the publication of her case and the depicted radiograph and intraoperative photos.

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An IRB/ethics committee approval was not necessary as all procedures were in accordance with standard medical practice.

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This article is part of the Topical Collection on Surgery

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Schieferdecker, S., Maarouf, M., Richter, R. et al. Painful Pressure Atrophy of the Skull Following Epicranial Cable Placement in Deep Brain Stimulation: a Case Report. SN Compr. Clin. Med. 2, 125–127 (2020). https://doi.org/10.1007/s42399-019-00159-1

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  • DOI: https://doi.org/10.1007/s42399-019-00159-1

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