Cytotoxic Lesion in the Splenium of Corpus Callosum Associated with Intracranial Infection After Deep Brain Stimulation

World Neurosurg. 2020 Mar:135:306-307. doi: 10.1016/j.wneu.2019.12.114. Epub 2019 Dec 30.

Abstract

Cytotoxic lesions of the corpus callosum will be present in a wide range of clinical conditions. The term "cytotoxic lesions of the corpus callosum" reflects our current understanding of the underlying pathophysiology of these lesions and does not necessarily imply confinement to the splenium. Because the symptoms vary and are not specific, the clinical diagnosis can be difficult. Brain magnetic resonance imaging will be of pivotal value in the investigation. We report the case of a patient with obsessive-compulsive disorder who underwent bilateral deep brain stimulation of the nucleus accumbens and developed infection along the surgical path of both electrodes associated with a cytotoxic lesion in the splenium of corpus callosum.

Keywords: Corpus callosum; Cytotoxic lesion; Deep brain stimulation; Intracranial infection; Nucleus accumbens; Obsessive-compulsive disorder.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Brain Diseases / complications
  • Brain Diseases / diagnostic imaging*
  • Clarithromycin / therapeutic use
  • Corpus Callosum / diagnostic imaging*
  • Deep Brain Stimulation
  • Diffusion Magnetic Resonance Imaging
  • Humans
  • Implantable Neurostimulators*
  • Magnetic Resonance Imaging
  • Male
  • Obsessive-Compulsive Disorder / therapy
  • Prosthesis Implantation*
  • Staphylococcal Infections / complications
  • Staphylococcal Infections / diagnosis*
  • Staphylococcal Infections / drug therapy
  • Staphylococcus aureus
  • Surgical Wound Infection / complications
  • Surgical Wound Infection / diagnosis*
  • Surgical Wound Infection / drug therapy
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents
  • Clarithromycin