{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:09:27Z","timestamp":1773101367165,"version":"3.50.1"},"reference-count":14,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nPostoperative cerebral edema around a deep brain stimulation (DBS) electrode is an uncommonly reported complication of DBS surgery. The etiology of this remains unknown, and the presentation is highly variable; however, the patients generally report a good outcome.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nHere, we report an unusual presentation of postoperative edema in a 66-year-old female who has bilateral dentatorubrothalamic tract (specifically, the ventral intermediate nucleus) DBS for a mixed type tremor disorder. Initial postoperative computed tomography (CT) was unremarkable and the patient was admitted for observation. She declined later on postoperative day (POD) 1 and became lethargic. Stat head CT scan performed revealed marked left-sided peri-lead edema extending into the centrum semiovale with cystic cavitation, and trace right-sided edema. On POD 2, the patient was alert, but with global aphasia, right-sided neglect, and a plegic right upper extremity. Corticosteroids were started and a complete infectious workup was unremarkable. She was intubated and ultimately required a tracheostomy and percutaneous gastrostomy tube. She returned to the clinic 3 months postoperatively completely recovered and ready for battery implantation.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nWhile this is an unusual presentation of cerebral edema following DBS placement, ultimately, the outcome was good similar to other reported cases. Supportive care and corticosteroids remain the treatment of choice for this phenomenon.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_527_2019","type":"journal-article","created":{"date-parts":[[2020,8,29]],"date-time":"2020-08-29T06:41:37Z","timestamp":1598683297000},"page":"259","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Case report of hyperacute edema and cavitation following deep brain stimulation lead implantation"],"prefix":"10.25259","volume":"11","author":[{"given":"Albert J.","family":"Fenoy","sequence":"first","affiliation":[{"name":"Movement Disorders and Neurodegenerative Disease Program, Departments of Neurology, McGovern Medical School, Houston, Texas, United States."},{"name":"Movement Disorders and Neurodegenerative Disease Program, Departments of Neurosurgery, McGovern Medical School, Houston, Texas, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher R.","family":"Conner","sequence":"additional","affiliation":[{"name":"Movement Disorders and Neurodegenerative Disease Program, Departments of Neurosurgery, McGovern Medical School, Houston, Texas, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph S.","family":"Withrow","sequence":"additional","affiliation":[{"name":"Movement Disorders and Neurodegenerative Disease Program, Departments of Neurosurgery, McGovern Medical School, Houston, Texas, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron W.","family":"Hocher","sequence":"additional","affiliation":[{"name":"Movement Disorders and Neurodegenerative Disease Program, Departments of Neurosurgery, McGovern Medical School, Houston, Texas, United 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