Fatal Subarachnoid Hemorrhage in a Deep Brain Stimulation Patient: Displacement of Stimulation Leads for Deep Brain Stimulation Indicate Subarachnoid Hemorrhage on X-ray

Gregor Bara; Valeri Borger; Jaroslaw Maciaczyk

doi:10.3390/diagnostics14020222

Fatal Subarachnoid Hemorrhage in a Deep Brain Stimulation Patient: Displacement of Stimulation Leads for Deep Brain Stimulation Indicate Subarachnoid Hemorrhage on X-ray

Diagnostics (Basel). 2024 Jan 19;14(2):222. doi: 10.3390/diagnostics14020222.

Authors

Gregor Bara¹, Valeri Borger¹, Jaroslaw Maciaczyk¹

Affiliation

¹ Department of Neurosurgery, University Hospital Bonn, Venusberg-Campus 1, Building 81, 53127 Bonn, Germany.

Abstract

We depict the rare case of a patient with aneurysmatic subarachnoid hemorrhage previously treated with deep brain stimulation for Parkinson's disease. Initial CT scans showed a Fisher grade 4 subarachnoid hemorrhage with lead displacement due to midline-shift. CT angiogram revealed a supra-ophthalmic aneurysm of the internal carotid artery. The patient subsequently underwent clipping of the aneurysm and decompressive hemicraniecomy.

Keywords: deep brain stimulation; intracerebral hemorrhage; subarachnoid hemorrhage.

Grants and funding

This research received no external funding.