Acta Neurochirurgica

, Volume 160, Issue 2, pp 393–395 | Cite as

Effects of bilateral pallidal deep brain stimulation on chorea after pulmonary thromboendarterectomy with deep hypothermia and circulatory arrest: a case report

  • Kyoko Aoyagi
  • Yoshinori Higuchi
  • Yoji Okahara
  • Maidinamu Yakufujiang
  • Takuma Matsuda
  • Yoshitaka Yamanaka
  • Tatsuya Yamamoto
  • Shigeki Hirano
  • Yasuo Iwadate
Case Report - Functional
First Online:
Received:
Accepted:

Abstract

A 41-year-old man was diagnosed with chronic pulmonary thromboembolism and underwent pulmonary thromboendarterectomy (PTE) with deep hypothermia and circulatory arrest. Five days after the operation, chorea emerged in the lower extremities. The patient was referred to our hospital for disabling chorea 16 years after PTE. Neurological examination revealed choreatic movements in the four extremities. Brain magnetic resonance images indicated atrophy in the bilateral head of the caudate nuclei. The patient underwent deep brain stimulation (DBS) of the bilateral globus pallidus interna (GPi). Continuous GPi-DBS diminished the choreatic movements. GPi-DBS may be a treatment option for sustained choreatic movements after PTE.

Keywords

Pallidal deep brain stimulation Postpump chorea Chronic thromboembolic pulmonary hypertension Pulmonary thromboendarterectomy 
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Notes

Compliance with ethical standards

Conflict of interest

None.

Ethical approval

All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from the patient included in this study.

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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2017

Authors and Affiliations

  1. 1.Department of NeurosurgeryChiba Cerebral and Cardiovascular CenterIchiharaJapan
  2. 2.Department of Neurological SurgeryChiba UniversityChibaJapan
  3. 3.Department of NeurologyChiba UniversityChibaJapan

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