Intraparenchymal Symptomatic Cyst Formation Around the Deep Cerebellar Stimulation Electrode.

Abstract

Intraparenchymal cyst formation around a deep brain stimulation electrode is a rare complication. This is the first report of intraparenchymal cyst formation along a deep cerebellar stimulation electrode in the posterior cranial fossa. The patient was a 27-year-old man with DYT-1 early-onset isolated dystonia who received bilateral deep cerebellar stimulation. He developed dizziness, nausea, and dysarthria 1 month following the deep cerebellar stimulation surgery. Head computed tomography revealed multiple cysts along the left electrode. The contrast medium of computed tomography did not enhance the appearance of the cystic lesions. We confirmed the absence of fever and sterile cerebrospinal fluid. Steroid therapy for 3 weeks was not radiologically and symptomatically useful. He underwent aspiration surgery. The cyst fluid was light yellow, sterile, and rich in protein. Despite substantial improvement in nausea and dysarthria within 1 week postoperatively, dizziness required 1 month to recover. Cystic formations gradually decreased with time.