When brain devices go wrong: a patient with a malfunctioning deep brain stimulator (DBS) presents to the emergency department

A man in his 50s attended the emergency department with an acute deterioration in his Parkinson’s symptoms, presenting with limb rigidity, widespread tremor, choreiform dyskinesia, dysarthria, intense sadness and a severe occipital headache. After excluding common differentials for sudden-onset park...

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Detalles Bibliográficos
Autores principales: Straw, Isabel, Ashworth, Charlotte, Radford, Nicola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Case Reports: Unusual association of diseases/symptoms
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9806045/
https://www.ncbi.nlm.nih.gov/pubmed/36572446
http://dx.doi.org/10.1136/bcr-2022-252305
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author Straw, Isabel
Ashworth, Charlotte
Radford, Nicola
author_facet Straw, Isabel
Ashworth, Charlotte
Radford, Nicola
author_sort Straw, Isabel
collection PubMed
description A man in his 50s attended the emergency department with an acute deterioration in his Parkinson’s symptoms, presenting with limb rigidity, widespread tremor, choreiform dyskinesia, dysarthria, intense sadness and a severe occipital headache. After excluding common differentials for sudden-onset parkinsonism (eg, infection, medication change), an error on the patient’s deep brain stimulator was noted. The patient’s symptoms only resolved once he was transferred to the specialist centre so that the programmer could reset the device settings. Due to COVID-19-related bed pressures on the ward, there was a delay in the patient receiving specialist attention—highlighting the need for non-specialist training in the emergency management of device errors.
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spelling pubmed-98060452023-04-16 When brain devices go wrong: a patient with a malfunctioning deep brain stimulator (DBS) presents to the emergency department Straw, Isabel Ashworth, Charlotte Radford, Nicola BMJ Case Rep Case Reports: Unusual association of diseases/symptoms A man in his 50s attended the emergency department with an acute deterioration in his Parkinson’s symptoms, presenting with limb rigidity, widespread tremor, choreiform dyskinesia, dysarthria, intense sadness and a severe occipital headache. After excluding common differentials for sudden-onset parkinsonism (eg, infection, medication change), an error on the patient’s deep brain stimulator was noted. The patient’s symptoms only resolved once he was transferred to the specialist centre so that the programmer could reset the device settings. Due to COVID-19-related bed pressures on the ward, there was a delay in the patient receiving specialist attention—highlighting the need for non-specialist training in the emergency management of device errors. BMJ Publishing Group 2022-12-26 /pmc/articles/PMC9806045/ /pubmed/36572446 http://dx.doi.org/10.1136/bcr-2022-252305 Text en © BMJ Publishing Group Limited 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Case Reports: Unusual association of diseases/symptoms
Straw, Isabel
Ashworth, Charlotte
Radford, Nicola
When brain devices go wrong: a patient with a malfunctioning deep brain stimulator (DBS) presents to the emergency department
title When brain devices go wrong: a patient with a malfunctioning deep brain stimulator (DBS) presents to the emergency department
title_full When brain devices go wrong: a patient with a malfunctioning deep brain stimulator (DBS) presents to the emergency department
title_fullStr When brain devices go wrong: a patient with a malfunctioning deep brain stimulator (DBS) presents to the emergency department
title_full_unstemmed When brain devices go wrong: a patient with a malfunctioning deep brain stimulator (DBS) presents to the emergency department
title_short When brain devices go wrong: a patient with a malfunctioning deep brain stimulator (DBS) presents to the emergency department
title_sort when brain devices go wrong: a patient with a malfunctioning deep brain stimulator (dbs) presents to the emergency department
topic Case Reports: Unusual association of diseases/symptoms
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9806045/
https://www.ncbi.nlm.nih.gov/pubmed/36572446
http://dx.doi.org/10.1136/bcr-2022-252305
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