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Cerebral Palsy child with deep brain stimulation implant-Treading a fine line

Gayatri Kadaganchi

A 14 year old girl with Spastic Quadriplegic Cerebral Palsy who had been implanted with Deep brain stimulation (DBS) into both sides scheduled for Injection Botox under IV sedation with standard monitoring. DBS is an alternative and effective treatment option for Cervical dystonia, Cerebral palsy, also other illnesses like refractory Parkinson’s disease, intractable epilepsy. Anaesthesia in patients with implanted neurostimulator requires special consideration because of interaction between neurostimulator and Diathermy. There are no standard guidelines for anesthetic management of a patient with DBS electrode in situ posted for surgery.