Deep brain stimulator

Case contributed by Ian Bickle
Diagnosis not applicable

Presentation

Long standing neurology patient with a movement disorder.

Patient Data

Age: 45 years
Gender: Female
x-ray

A large metallic box projects over the left hemithorax with leads traversing cranially, representing an internal pulse generator.

Case Discussion

Deep brain stimulation is used in a variety of clinical settings, predominantly in patients with poorly controlled movement disorders.

Leads are tunnelled under the skin and the internal pulse generator (IPG) implanted in a similar location to a pacemaker, overlying the thoracic cavity.  Leads can be identified traversing in a cranial direction.

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