Department of Neurological Surgery, George Washington University Hospital, Washington, District of Columbia, USA,
Department of Neurological Surgery, George Washington University Hospital, Washington, District of Columbia, USA.
Stereotact Funct Neurosurg. 2021;99(1):38-39. doi: 10.1159/000510122. Epub 2020 Oct 16.
There exist only two case reports to date of open cardiac defibrillation with deep brain stimulator system (DBS) implantation. We report a 64-year-old male with DBS system in place for essential tremor who underwent cardiac defibrillation after cardiac arrest. Afterwards, his device impedances were all high and his tremor symptoms returned. Both problems resolved with implantation of a new generator and required no changes to the intracranial leads or extension cables. This is significantly different from the two previous reports. One included a significantly different DBS system relying on transcutaneous RF transmission and reported a lesioning effect after cardioversion. The other utilized a modern DBS system but reported damage to the generator and intracranial leads. We report that only the generator sustained damage, and that there were no intracranial changes that occurred.
迄今为止，仅有两例关于心脏除颤与深部脑刺激系统（DBS）植入术联合应用的病例报告。我们报告了一例 64 岁男性，因特发性震颤而植入 DBS 系统，在心脏骤停后接受了心脏除颤。随后，他的设备阻抗均升高，震颤症状也再次出现。这两个问题都通过植入新的发生器得到了解决，无需对颅内导联或延长线进行任何更改。这与之前的两份报告显著不同。其中一份报告中使用了一种不同的 DBS 系统，该系统依赖于经皮射频传输，并在电击复律后报告了一个消融效应。另一份报告则使用了一种现代的 DBS 系统，但报告了发生器和颅内导联的损坏。我们报告称只有发生器受到了损坏，而没有发生颅内变化。
