- A 46-year-old man with Lennox-Gastaut syndrome and drug-resistant epilepsy underwent bilateral deep brain stimulation (DBS) to help manage his condition.
- After initial DBS activation, he experienced worsened ataxia and dysarthria, which improved when the stimulation was adjusted to reduce stimulation from certain areas.
- This case highlights that careful adjustment of DBS parameters can mitigate side effects like dysarthria while still providing effective treatment for epilepsy.
Temporary, sudden, shooting and recurrent unilateral facial pain in the supply area of one or more trigeminal nerve branches characterises trigeminal neuralgia. Innocuous stimuli trigger the pain, e.g.
Hydrocephalus is a medical condition that requires surgical solutions to manage excess cerebrospinal fluid, with the ventriculoperitoneal shunt (VPS) being the most common method used today.
A systematic review and meta-analysis was conducted to compare the effectiveness and safety of VPS and ventriculoatrial shunt (VAS) techniques, analyzing data from nine studies involving 3,197 patients.
The analysis found that the VAS had a significantly lower risk of shunt dysfunction, while risks of infection, revision, and death were statistically similar between the two methods but showed high variability across studies.
* Common chronic conditions included hypertension (51.3%), anemia (34.1%), and obesity (32.2%), with 73.7% of participants experiencing multimorbidity.
* Women had higher rates of obesity and ischemic heart disease, while older age was linked to an increase in several health issues, indicating a significant prevalence of multimorbidity in sub-Saharan Africa.