2019冠状病毒病大流行期间深部脑刺激电池耗尽：危机中的危机
Deep Brain Stimulation Battery Exhaustion during the COVID-19 Pandemic: Crisis within a Crisis.
作者信息
Holla Vikram Venkappayya, Neeraja Koti, Surisetti Bharath Kumar, Prasad Shweta, Kamble Nitish, Srinivas Dwarakanath, Yadav Ravi, Pal Pramod Kumar
机构信息
Department of Neurology, National Institute of Mental Health & Neurosciences, Karnataka, India.
Department of Clinical Neurosciences, National Institute of Mental Health & Neurosciences, Karnataka, India.
出版信息
J Mov Disord. 2020 Sep;13(3):218-222. doi: 10.14802/jmd.20073. Epub 2020 Aug 31.
OBJECTIVE
The novel coronavirus disease (COVID-19) pandemic and public health measures to control it have resulted in unique challenges in the management of patients with deep brain stimulation (DBS). We report our experience with the management of acute worsening of symptoms due to battery exhaustion in 3 patients with DBS.
METHODS
Patients with DBS for movement disorders who visited the emergency room due to battery exhaustion during the nationwide lockdown from April to May 2020 were included.
RESULTS
Two patients with subthalamic nucleus-DBS for Parkinson's disease (PD) and one with globus pallidus interna-DBS for generalized dystonia presented with acute worsening of symptoms due to battery exhaustion. Urgent battery replacement was performed in both patients with PD. The patient with generalized dystonia was managed with medication adjustment as he chose to defer battery replacement.
CONCLUSION
DBS battery replacement can be an emergency. Decisions regarding DBS battery replacement should be individualized during this COVID-19 pandemic.
目的
新型冠状病毒病（COVID-19）大流行及其控制措施给脑深部电刺激（DBS）患者的管理带来了独特挑战。我们报告了3例DBS患者因电池耗尽导致症状急性恶化的管理经验。
方法
纳入2020年4月至5月全国封锁期间因电池耗尽而到急诊室就诊的患有运动障碍且接受DBS治疗的患者。
结果
2例接受丘脑底核-DBS治疗帕金森病（PD）的患者和1例接受内侧苍白球-DBS治疗全身性肌张力障碍的患者因电池耗尽出现症状急性恶化。2例PD患者均进行了紧急电池更换。患有全身性肌张力障碍的患者因选择推迟电池更换而通过调整药物进行治疗。
结论
DBS电池更换可能成为紧急情况。在此次COVID-19大流行期间，关于DBS电池更换的决策应个体化。
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