Fractura de extensión de electrodos en estimulación cerebral profunda para distonía cervical: reporte de caso y revisión de la literatura.

Fabián Cremaschi; Alejandro Vázquez; Fabián C. Piedimonte

doi:10.47924/neurotarget2023115

Autores/as

Fabián Cremaschi Médico Neurocirujano. Se desempeña en el Área de Neurología clínica y quirúrgica. Departamento de Neurociencias de la Facultad de Ciencias Médicas (FCM) de la UNCuyo. Vicedecano de la FCM-UNCuyo (2014-2018).
Alejandro Vázquez Neurocirujano. Especialista en tratamientos del dolor.
Fabián C. Piedimonte Fundación Cenit para la Investigación en Neurociencias.

DOI:

https://doi.org/10.47924/neurotarget2023115

Palabras clave:

Estimulación cerebral profunda, Distonía, Cables extensores, Interescapular

Resumen

La estimulación cerebral profunda (ECP) es utilizada como un método eficaz, adaptable y reversible para el tratamiento de diversas condiciones neurológicas. A pesar de su concepto mínimamente invasivo, estos procedimientos no se encuentran exentos de complicaciones. En este trabajo presentamos el caso de un paciente portador distonía cervical secundaria al uso de neurolépticos asociada a trastorno obsesivo compulsivo, quien recibió implante de electrodos cerebrales profundos en ambos globos pálidos internos. Evolucionó con brusca reaparición de los síntomas por la rotura de los cables extensores en dos oportunidades. Describimos la resolución del caso mediante la colocación de extensores expandibles y la reubicación del generador en el espacio interescapular, así como una revisión actualizada de la literatura.

Métricas

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Citas

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