Occipital pseudoaneurysm as a complication of extension channel placement for DBS in Parkinson's disease

Tambasco, Nicola; Hamam, Mohamed Serhan; Castrioto, Corrado; Calabresi, Paolo; Rossi, Aroldo

doi:10.1002/mds.21491

Cited by 11 publications

(3 citation statements)

References 13 publications

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“…They also described other treatment options of similar condition. On the other hand, Tambasco et al [22] reported giant occipital artery pseudoaneurysm near an extension channel of electrocatheter in a patient underwent insertion of deep brain stimulation. The aneurysm was treated by interventional embolization using acrylic glue.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic (Traumatic) occipital artery pseudoaneurysm – Rare complication of ventriculoperitoneal shunt in an infant: Case report and review of the literature

et al. 2018

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Although ventriculoperitoneal shunt (VPS) is the most common procedure performed by pediatric neurosurgeons, it is still associated with frustrating complications, most common of which are obstruction and infection. Traumatic occipital artery pseudoaneurysm is a very rare complication of VPS procedure. To the best of our knowledge, there is no similar case reported in the English language literature. A 12-month-old patient suffered posthemorrhagic hydrocephalus of prematurity, and multiple other complications due to extreme prematurity, including immature lung disease, retinopathy of prematurity, necrotizing enterocolitis, bowel perforation, short bowel syndrome resulting in total parenteral nutrition-dependence, and hydrocephalus which was treated by insertion of VPS. Four weeks after the shunt, a slowly enlarging pulsatile swelling distal to the valve under the catheter altering the shunt function was noted. The swelling was diagnosed as a pseudoaneurysm of the occipital artery and treated by excision of the aneurysm. The child developed isolated dilated fourth ventricle, which was treated by endoscopic fourth ventriculostomy. Traumatic occipital artery pseudoaneurysm as a result of tunneling of VPS catheter is a very rare complication of VPS. Clinical and radiological imaging is diagnostic of the aneurysm. Surgical repair should be considered in such cases. This case report is aimed to raise the awareness among physicians about this rare complication.

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Section: Discussionmentioning

confidence: 99%

Iatrogenic (Traumatic) occipital artery pseudoaneurysm – Rare complication of ventriculoperitoneal shunt in an infant: Case report and review of the literature

et al. 2018

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“…[ 3 ] Interestingly, two previously reported cases were associated with a surgical procedure involving the occipital area. [ 7 8 ] More specifically, the first case was of a 68-year-old woman who underwent surgery for deep brain stimulation (DBS). Two weeks after the surgical procedure, the patient developed an enlarging tender occipital mass that was diagnosed as an OA pseudoaneurysm.…”

Section: Discussionmentioning

confidence: 99%

“…Two weeks after the surgical procedure, the patient developed an enlarging tender occipital mass that was diagnosed as an OA pseudoaneurysm. [ 8 ] The second iatrogenic OA pseudoaneurysm was diagnosed 1 month after craniotomy for a vestibular schwannoma resection. [ 7 ] Interestingly, the anatomy of the OA can explain part of their pathogenesis.…”

Section: Discussionmentioning

confidence: 99%

A giant pseudoaneurysm of the occipital artery

et al. 2017

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Background:Pseudoaneurysms of the occipital artery (OA) are extremely rare and can occur following head trauma or iatrogenic injury; OA anatomy seems to play a crucial role in their pathogenesis.Case Description:This report describes the case of a 76-year-old patient with a giant OA pseudoaneurysm secondary to a head injury the patient had sustained 1 month earlier. After radiological confirmation via ultrasonography (US) and computed tomography angiography (CTA), the patient underwent surgery for resection of the lesion. An uneventful postoperative course with no recurrence was confirmed at 1 and 2-month follow-up visits.Conclusions:Despite their rarity, pseudoaneurysms of the OA should be considered in the differential diagnosis of patients presenting with an occipital pulsatile mass. Prompt management reduces the risk of a serious hemorrhage. In our case, considering the size of the lesion, surgical resection seemed to be the only reasonable option.

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Unusual complications of deep brain stimulation

et al. 2014

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Deep brain stimulation (DBS) has emerged as a successful therapy for the treatment of several neurological disorders with potential implications in management of psychiatric disease. A variety of well-characterized hardware and surgical complications have been reported after the procedure, including postoperative hardware infection, system failure, and intracranial hemorrhage. Fortunately, serious surgical complications are rare, but they can lead to immediate or long-term disability. As the number of patients undergoing DBS continues to increase, newer and less common complications continue to emerge. It is imperative that clinicians become familiar with these complications in order to promptly recognize them and institute adequate early treatment. In this report, we examine the occurrence of unusual complications after DBS with emphasis on surgical, hardware, and stimulation-related complications.

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Occipital pseudoaneurysm as a complication of extension channel placement for DBS in Parkinson's disease

Cited by 11 publications

References 13 publications

Iatrogenic (Traumatic) occipital artery pseudoaneurysm – Rare complication of ventriculoperitoneal shunt in an infant: Case report and review of the literature

Iatrogenic (Traumatic) occipital artery pseudoaneurysm – Rare complication of ventriculoperitoneal shunt in an infant: Case report and review of the literature

A giant pseudoaneurysm of the occipital artery

Unusual complications of deep brain stimulation

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