TY - JOUR PY - 2015// TI - Drowning hazard with deep brain stimulation: case report JO - Journal of neurosurgery A1 - Bangash, Omar K. A1 - Thorburn, Megan A1 - Garcia-Vega, Jimena A1 - Walters, Susan A1 - Stell, Rick A1 - Starkstein, Sergio E. A1 - Lind, Christopher R. P. SP - 1513 EP - 1516 VL - 124 IS - 5 N2 - The caudal zona incerta target within the posterior subthalamic area is an investigational site for deep brain stimulation (DBS) in Parkinson disease (PD) and tremor. The authors report on a patient with tremor-predominant PD who, despite excellent tremor control and an otherwise normal neurological examination, exhibited profound difficulty swimming during stimulation. Over the last 20 years, anecdotal reports have been received of 3 other patients with PD who underwent thalamic or pallidal lesioning or DBS surgery performed at the authors' center and subsequently drowned. It may be that DBS puts patients at risk for drowning by specifically impairing their ability to swim. Until this finding can be further examined in larger cohorts, patients should be warned to swim under close supervision soon after DBS surgery.

Language: en

LA - en SN - 0022-3085 UR - http://dx.doi.org/10.3171/2015.5.JNS15589 ID - ref1 ER -