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Deep Brain Stimulation Battery Exhaustion during the COVID-19 Pandemic: Crisis within a Crisis.
Holla, Vikram Venkappayya; Neeraja, Koti; Surisetti, Bharath Kumar; Prasad, Shweta; Kamble, Nitish; Srinivas, Dwarakanath; Yadav, Ravi; Pal, Pramod Kumar.
  • Holla VV; Department of Neurology, National Institute of Mental Health & Neurosciences, Karnataka, India.
  • Neeraja K; Department of Neurology, National Institute of Mental Health & Neurosciences, Karnataka, India.
  • Surisetti BK; Department of Neurology, National Institute of Mental Health & Neurosciences, Karnataka, India.
  • Prasad S; Department of Neurology, National Institute of Mental Health & Neurosciences, Karnataka, India.
  • Kamble N; Department of Clinical Neurosciences, National Institute of Mental Health & Neurosciences, Karnataka, India.
  • Srinivas D; Department of Neurology, National Institute of Mental Health & Neurosciences, Karnataka, India.
  • Yadav R; Department of Neurosurgery, National Institute of Mental Health & Neurosciences, Karnataka, India.
  • Pal PK; Department of Neurology, National Institute of Mental Health & Neurosciences, Karnataka, India.
J Mov Disord ; 13(3): 218-222, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-732633
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.
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Full text: Available Collection: International databases Database: MEDLINE Language: English Journal: J Mov Disord Year: 2020 Document Type: Article Affiliation country: Jmd.20073

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Full text: Available Collection: International databases Database: MEDLINE Language: English Journal: J Mov Disord Year: 2020 Document Type: Article Affiliation country: Jmd.20073