Open AccessVenous infarct after sacrifice of single cortical vein during deep-brain stimulation surgery
Author(s) -
Edvin Zekaj,
Christian Saleh,
Andrea Ciuffi,
Andrea Franzini,
Domenico Servello
Publication year - 2018
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
pISSN - 1793-5482
DOI - 10.4103/ajns.ajns_126_18
Subject(s) - medicine , intracerebral hemorrhage , asymptomatic , surgery , coma (optics) , complication , stroke (engine) , brain damage , anesthesia , glasgow coma scale , mechanical engineering , physics , optics , engineering
Intracerebral hemorrhage (ICH) is the most feared and dreadful complication related to deep-brain stimulation (DBS). Bleeding may originate from arterial or venous damage. Commonly, hemorrhage is detected by postoperative imaging performed to assess lead positioning in asymptomatic patients. Rarely, hemorrhage leads to stroke, coma, or even death. We present the case of a patient who suffered a severe ICH of venous origins after bilateral DBS. Deep-brain hemorrhages are the most difficult to be predicted and to be prevented because they are caused by small vessels. As superficial hemorrhages are secondary to venous coagulation or sulcal hemorrhage, neurosurgeons must drive all efforts to minimize their occurrence.