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Sudden loss of the deep brain stimulation effect with high impedance without macroscopic fracture: a case report and review of the published literature

Overview of attention for article published in Neuropsychiatric Disease and Treatment, July 2015
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About this Attention Score

  • Above-average Attention Score compared to outputs of the same age (53rd percentile)
  • Above-average Attention Score compared to outputs of the same age and source (52nd percentile)

Mentioned by

twitter
3 tweeters
facebook
1 Facebook page

Citations

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8 Dimensions

Readers on

mendeley
27 Mendeley
citeulike
1 CiteULike
Title
Sudden loss of the deep brain stimulation effect with high impedance without macroscopic fracture: a case report and review of the published literature
Published in
Neuropsychiatric Disease and Treatment, July 2015
DOI 10.2147/ndt.s86120
Pubmed ID
Authors

Hui-Jun Yang, Ji Young Yun, Young Eun Kim, Yong Hoon Lim, Han-Joon Kim, Sun Ha Paek, Beom Jeon

Abstract

The number of deep brain stimulation (DBS) hardware complications has increased during the past decade. In cases of abnormally high lead impedance with no evidence of a macroscopic fracture, optimal treatment options have not yet been established. Here, we present the case of a 49-year-old woman with a 12-year history of Parkinson's disease who received bilateral subthalamic nucleus DBS in March 2006. The patient showed good control of parkinsonism until December 24, 2010, when she awoke with abrupt worsening of parkinsonian symptoms. At telemetric testing, lead impedances were found at >2,000 Ω in all four leads on the left side. Fracture of a lead or an extension wire was suspected. However, radiological screening and palpation revealed no macroscopic fracture. In June 2011, the implantable pulse generator (IPG) was changed under local anesthesia without any complications. Postoperatively, her parkinsonism immediately improved to the previous level, and the lead impedance readings by telemetry were also normalized. The disconnection of the neurostimulator connector block and the hybrid circuit board of the IPG was confirmed by destructive analysis. The present report illustrates that a staged approach that starts with simple IPG replacement can be an option for some cases of acute DBS effect loss with high impedance, when radiological findings are normal, thereby sparing the intact electrodes and extension wires.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 27 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 2 7%
Germany 1 4%
Unknown 24 89%

Demographic breakdown

Readers by professional status Count As %
Researcher 6 22%
Other 5 19%
Student > Ph. D. Student 3 11%
Student > Postgraduate 2 7%
Professor > Associate Professor 2 7%
Other 3 11%
Unknown 6 22%
Readers by discipline Count As %
Medicine and Dentistry 10 37%
Engineering 5 19%
Veterinary Science and Veterinary Medicine 1 4%
Earth and Planetary Sciences 1 4%
Biochemistry, Genetics and Molecular Biology 1 4%
Other 2 7%
Unknown 7 26%

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 June 2019.
All research outputs
#13,208,106
of 22,817,213 outputs
Outputs from Neuropsychiatric Disease and Treatment
#1,243
of 2,985 outputs
Outputs of similar age
#120,162
of 263,426 outputs
Outputs of similar age from Neuropsychiatric Disease and Treatment
#38
of 91 outputs
Altmetric has tracked 22,817,213 research outputs across all sources so far. This one is in the 41st percentile – i.e., 41% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,985 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.6. This one has gotten more attention than average, scoring higher than 56% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 263,426 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 53% of its contemporaries.
We're also able to compare this research output to 91 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.