Acta Neurochirurgica

, Volume 154, Issue 5, pp 835–838 | Cite as

Evidence of a non-motor microlesion effect following deep brain surgery: a case report

  • Verena Eveline Rozanski
  • Martin Lieb
  • Christian Vollmar
  • Jan-Hinnerk Mehrkens
  • Kai Bötzel
Case Report

Abstract

We report the case of a patient who developed acute transient psychosis after implantation, but not activation of pallidal deep brain electrodes for generalised dystonia. Psychotic symptoms coincided temporally with postoperative motor improvement induced by the microlesion effect after electode implantation. This finding suggests that the microlesion effect may not be confined to motor improvement, but also comprises non-motor symptoms. In our case, affection of adjacent dopaminergic fibres of passages has to be assumed.

Keywords

Deep brain stimulation Globus pallidus internus Microlesion effect Dopaminergic fibres 

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Verena Eveline Rozanski
    • 1
  • Martin Lieb
    • 2
  • Christian Vollmar
    • 1
  • Jan-Hinnerk Mehrkens
    • 1
  • Kai Bötzel
    • 1
  1. 1.Department of Neurology, Klinikum GrosshadernUniversity of MunichMünchenGermany
  2. 2.Department of Psychiatry, Klinikum GrosshadernUniversity of MunichMunichGermany

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