Institut Clínic d'Oftalmologìa, Servicio de Neurocirugía, Hospital Clínic i Provincial, Barcelona, Spain.
J Neuroophthalmol. 2009 Dec;29(4):286-8. doi: 10.1097/WNO.0b013e3181b2822d.
A 57-year-old-man treated with deep brain stimulation (DBS) of both subthalamic nuclei for advanced Parkinson disease developed a brain hemorrhage near the site of one of the DBS electrodes 9 months after implantation. The hemorrhage caused vertical diplopia from skew deviation. Examination also disclosed evidence of ipsiversive binocular torsion and a right head tilt, constituting an ocular tilt reaction (OTR). Fourteen months later, he was still symptomatic from diplopia. An OTR has not previously been reported as a delayed complication of DBS.
一位 57 岁男性因晚期帕金森病接受双侧丘脑底核深部脑刺激(DBS)治疗,在植入后 9 个月时在其中一个 DBS 电极部位附近发生脑出血。该出血导致斜视性垂直复视。检查还发现了双眼同向扭转和右侧头部倾斜的证据,构成了眼倾斜反应(OTR)。14 个月后,他仍然存在复视症状。OTR 以前从未被报道为 DBS 的迟发性并发症。