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Deep Brain Stimulation Battery Exhaustion during the COVID-19 Pandemic: Crisis within a Crisis

Journal of Movement Disorders 2020년 13권 3호 p.218 ~ 222
Holla Vikram Venkappayya, Neeraja Koti, Surisetti Bharath Kumar, Prasad Shweta, Kamble Nitish, Srinivas Dwarakanath, Yadav Ravi, Pal Pramod Kumar,
소속 상세정보
 ( Holla Vikram Venkappayya ) - National Institute of Mental Health and Neurosciences Department of Neurology
 ( Neeraja Koti ) - National Institute of Mental Health and Neurosciences Department of Neurology
 ( Surisetti Bharath Kumar ) - National Institute of Mental Health and Neurosciences Department of Neurology
 ( Prasad Shweta ) - National Institute of Mental Health and Neurosciences Department of Neurology
 ( Kamble Nitish ) - National Institute of Mental Health and Neurosciences Department of Neurology
 ( Srinivas Dwarakanath ) - National Institute of Mental Health and Neurosciences Department of Neurosurgery
 ( Yadav Ravi ) - National Institute of Mental Health and Neurosciences Department of Neurology
 ( Pal Pramod Kumar ) - National Institute of Mental Health and Neurosciences Department of Neurology

Abstract


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.

키워드

Battery exhaustion; COVID-19; Deep brain stimulation; Dystonia; Parkinson disease

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