Lacunar infarct during pallidotomy: case report

Neuroradiology
G A ChristoforidisF Junn

Abstract

A symptomatic lacunar infarct is an unusual complication which may develop during stereotactically guided pallidotomy using radiofrequency thermoablation. We describe a 54-year-old man with Parkinson's disease involving predominantly the right side, progressively deteriorating under medical management. He underwent stereotactically guided radiofrequency thermoablation of the posteroventral globus pallidus interna. Despite intraoperative microelectrode recording and stimulation, the patient developed right facial weakness and pronator drift during the procedure. MRI showed a small lacunar infarct in the left internal capsule, in addition to the appropriately placed ablative lesion. We discuss the potential mechanisms for this type of injury.

Citations

May 21, 2011·Stereotactic and Functional Neurosurgery·Dong Wan KangJin Woo Chang
May 25, 2006·Movement Disorders : Official Journal of the Movement Disorder Society·Kevin E NovakMichael Rezak
Apr 14, 2016·Clinical Child and Family Psychology Review·Brittany L MathewsKathryn A Kerns

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