Management of Elevated Therapeutic Impedances on Deep Brain Stimulation Leads

  title={Management of Elevated Therapeutic Impedances on Deep Brain Stimulation Leads},
  author={Wissam Deeb and Amar P. Patel and Michael S. Okun and Aysegul Gunduz},
  booktitle={Tremor and other hyperkinetic movements},
CLINICAL VIGNETTE A 64-year-old male with a history of essential tremor with bilateral thalamic ventralis intermedius deep brain stimulation implants had elevated therapeutic impedance values despite normal lead integrity impedances and good response to stimulation. CLINICAL DILEMMA Do elevated therapeutic impedance values indicate a sign of hardware malfunction? What are the guidelines to approach deep brain stimulation hardware malfunction? CLINICAL SOLUTION Lead integrity impedance… CONTINUE READING

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