A Parkinson's disease patient treated with deep brain stimulation, with implantation and reimplantation of the system - an 8 years follow-up

Deep brain stimulation is the most used neurosurgical procedure for advanced Parkinson’s disease. This procedure improves motor symptoms and some non-motor symptoms over a long period of time. In rare cases there are several complications which might lead to system removal. We report here a case were removal of the stimulation system was prompted by a scalp infection which extended to the subcutaneous fatty tissue and subcutaneous wire trajectories and did not resolved with antibiotics. The symptomatology worsened after device removal and reimplantation was decided. We followed this patient for 8 years after the first implant (6 years after the second implant) and he still has a good quality of live, being completely independent in most daily tasks.