Rehabilitation Assists in Recovery After Complicated Intracerebral Hemorrhage Related to Deep Brain Stimulation

Hsiu-Fen Hsu ^a, Hung-Yu Cheng ^a, Shih-Hsien Yang ^{a, b}, Chung-Chao Liang ^{a, c}

^aDepartment of Physical Medicine and Rehabilitation, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
^bInstitute of Neuroscience, Tzu Chi University, Hualien, Taiwan
^cCollege of Medicine, Tzu Chi University, Hualien, Taiwan

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Abstract

Bilateral subthalamic nuclei deep brain stimulation (DBS) has been shown to be effective in treating motor symptoms of Parkinson's disease. Numerous studies confirm the safety and efficacy of DBS. Complications of subthalamic nuclei DBS show a 1.2% risk of symptomatic intracerebral hemorrhage. There are few studies concerning the benefits of rehabilitation after occurrence of intracerebral hemorrhage related to DBS. We report a patient who underwent an inpatient rehabilitation program because of complicated intracerebral hemorrhage after a DBS procedure. We observed significant improvement in locomotion and independence of daily activities after the program. We also review the current literature reporting complications following DBS.

Keywords

Complications; Intracerebral hemorrhage; Parkinson's disease; Rehabilitation; Subthalamic deep brain stimulation