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Parkinson’s Disease
Volume 2010, Article ID 189371, 4 pages
http://dx.doi.org/10.4061/2010/189371
Case Report

Placement of the Internal Pulse Generator for Deep Brain Stimulation in the Upper Back to Prevent Fracture of the Extension Wire due to Generator Rotation: Case Report

Department of Neurosurgery, New York Medical College, Valhalla, NY 10595, USA

Received 14 June 2009; Revised 11 October 2009; Accepted 8 December 2009

Academic Editor: Francisco Grandas

Copyright © 2010 Ankur Garg et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Deep brain stimulation (DBS) is a common surgical procedure used for the treatment of Parkinson's disease (PD) and essential tremor. A potential complication of this procedure is hardware failure. The authors report a case of DBS hardware failure in which repeated fractures of the extension wire were caused by abnormal rotational movements of the IPG placed in the loose subclavicular tissue of an overweight female. Implantation of the IPG in the suprascapular area prevented further extension wire fractures. This strategy may be especially relevant in overweight females with loose subclavicular tissue.