Zekaj Edvin, Saleh Christian, Ciuffi Andrea, Franzini Andrea, Servello Domenico
Department of Neurosurgery, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Asian J Neurosurg. 2018 Oct-Dec;13(4):1276-1278. doi: 10.4103/ajns.AJNS_126_18.
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.
脑出血（ICH）是与深部脑刺激（DBS）相关的最令人恐惧和可怕的并发症。出血可能源于动脉或静脉损伤。通常，通过术后成像来检测出血情况，这些成像用于评估无症状患者的电极位置。出血很少会导致中风、昏迷甚至死亡。我们报告一例双侧DBS术后发生严重静脉源性ICH的患者病例。深部脑出血最难预测和预防，因为它们是由小血管引起的。由于浅表出血继发于静脉凝固或脑沟出血，神经外科医生必须竭尽全力将其发生率降至最低。
