Radiation therapy in patients with implanted deep brain stimulation

Neurol Neurochir Pol. 2020;54(3):280-283. doi: 10.5603/PJNNS.a2020.0033. Epub 2020 Apr 14.

Abstract

Background: As deep brain stimulation (DBS) and radiation therapy (RT) have become established treatments for movement disorders and malignancies respectively, patients being treated with both simultaneously are becoming more frequent.

Objectives: Literature regarding the safety of RT in patients with implanted DBS is scarce, and there are no clear guidelines on how to manage them.

Methods: We present a follow-up of two Parkinson's Disease (PD) patients with DBS undergoing RT in the context of previous literature.

Results: No adverse events nor malfunctioning of the DBS system were observed. This was in line with previous reports.

Conclusions: Since there are no clear safety guidelines for RT in DBS patients, it is important to document experience in this field. A combined approach involving multidisciplinary discussions between neurosurgeons, radiotherapists, clinical oncologists and neurologists is recommended.

Keywords: Parkinson’s Disease; deep brain stimulation; radiation therapy; safety guidelines.

MeSH terms

  • Deep Brain Stimulation*
  • Electrodes, Implanted
  • Humans
  • Parkinson Disease