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脑深部电刺激期间心脏骤停：一例报告。

Cardiac arrest during deep brain stimulation: A case report.

作者信息

Oberholzer Julian, Fayolle Damien, Vandenbulcke Alberto, Gaudet John G

机构信息

Department of Anesthesiology Centre Hospitalier Universitaire Vaudois Lausanne Switzerland.

Department of Neurology Hôpitaux Universitaires Genève Geneva Switzerland.

出版信息

Clin Case Rep. 2024 Jul 11;12(7):e9147. doi: 10.1002/ccr3.9147. eCollection 2024 Jul.

DOI:10.1002/ccr3.9147
PMID:39005577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11239760/
Abstract

We present the case of a 54-year-old male with severe Parkinson's disease and chronic, non-reversible pulmonary artery hypertension who had seizures and a cardiorespiratory arrest during surgery for deep brain stimulation, a minimally invasive procedure usually associated with a low risk of complications. This case illustrates how perioperative changes in antiparkinsonian therapy in patient with multiple comorbidities may significantly affect the risk profile.

摘要

我们报告了一例54岁男性患者，患有严重帕金森病和慢性、不可逆的肺动脉高压，在进行深部脑刺激手术（一种通常并发症风险较低的微创手术）期间发生癫痫发作和心肺骤停。该病例说明了合并多种疾病患者围手术期抗帕金森病治疗的变化如何显著影响风险状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a81/11239760/e36d3270b452/CCR3-12-e9147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a81/11239760/e36d3270b452/CCR3-12-e9147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a81/11239760/e36d3270b452/CCR3-12-e9147-g001.jpg

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3
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本文引用的文献

1
Deep brain stimulation in PD: risk of complications, morbidity, and hospitalizations: a systematic review.帕金森病的脑深部电刺激：并发症、发病率及住院风险的系统评价
Front Aging Neurosci. 2023 Nov 17;15:1258190. doi: 10.3389/fnagi.2023.1258190. eCollection 2023.
2
Respiratory Abnormalities in Parkinson's Disease: What Do We Know from Studies in Humans and Animal Models?帕金森病的呼吸异常：从人类和动物模型研究中我们了解到了什么？
Int J Mol Sci. 2022 Mar 23;23(7):3499. doi: 10.3390/ijms23073499.
3
Anesthesia for deep brain stimulation: an update.
深部脑刺激的麻醉：更新。
Curr Opin Anaesthesiol. 2021 Oct 1;34(5):563-568. doi: 10.1097/ACO.0000000000001038.
4
The medical treatment of cardiogenic shock: cardiovascular drugs.心原性休克的治疗：心血管药物。
Curr Opin Crit Care. 2021 Aug 1;27(4):426-432. doi: 10.1097/MCC.0000000000000822.
5
Risk and mortality of aspiration pneumonia in Parkinson's disease: a nationwide database study.帕金森病患者吸入性肺炎的风险和死亡率：一项全国性数据库研究。
Sci Rep. 2021 Mar 23;11(1):6597. doi: 10.1038/s41598-021-86011-w.
6
Incidence and risk factors for seizures associated with deep brain stimulation surgery.与脑深部电刺激手术相关的癫痫发作的发生率及危险因素
J Neurosurg. 2020 Aug 7;135(1):279-283. doi: 10.3171/2020.5.JNS20125. Print 2021 Jul 1.
7
Current and future directions of deep brain stimulation for neurological and psychiatric disorders.深部脑刺激治疗神经和精神疾病的现状和未来方向。
J Neurosurg. 2019 Aug 1;131(2):333-342. doi: 10.3171/2019.4.JNS181761.
8
Management of Dysphagia in Patients with Parkinson's Disease and Related Disorders.帕金森病及相关疾病患者吞咽困难的管理
Intern Med. 2020 Jan 1;59(1):7-14. doi: 10.2169/internalmedicine.2373-18. Epub 2019 Apr 17.
9
Parkinson disease and the risk of epileptic seizures.帕金森病与癫痫发作风险。
Ann Neurol. 2018 Feb;83(2):363-374. doi: 10.1002/ana.25157. Epub 2018 Feb 10.
10
Complications of deep brain stimulation: a collective review.深部脑刺激的并发症：综合述评。
Asian J Surg. 2009 Oct;32(4):258-63. doi: 10.1016/S1015-9584(09)60404-8.