title: Radiofrequency neurotomy for a patient with deep brain stimulators: proposed safety guidelines.
abstract: OBJECTIVE
  To discuss the potential risks inherent to performing radiofrequency procedures in patients with deep brain neurostimulators, and to propose safety guidelines.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Tertiary care teaching hospital.
  
  
  METHODS
  A 67-year-old male with intractable back pain due to advanced lumbar spondylosis, with a history of advanced Parkinson's Disease requiring two deep brain stimulators.
  
  
  METHODS
  Radiofrequency neurotomy lumbar facet joints.
  
  
  RESULTS
  No atypical symptoms were reported during the procedure that would indicate iatrogenic injury from radiofrequency effect on the deep brain neurostimulators. The subject's back pain was relieved by 70% for greater than 6 months bilaterally.
  
  
  CONCLUSIONS
  There are several theoretical concerns when using radiofrequency therapies on patients with neurostimulators. Our patient did not experience any known adverse events during or subsequent to the procedure. This article presents our proposed safety guidelines for using radiofrequency neurotomy on patients with deep brain stimulators.
  
  
  CONCLUSIONS
  Radiofrequency medial branch neurotomy was performed on a patient with two deep brain stimulators with a satisfactory clinical outcome, and no adverse sequelae. Additional study is warranted regarding the safety and compatibility of brain neurostimulators and radiofrequency interventions.
authors.affiliation: Mayo Clinic-Pain Medicine, Jacksonville, Florida 32224, USA. osborne.michael@mayo.edu
authors.forename: Michael D
authors.initials: MD
authors.lastname: Osborne
mesh_terms: D000368:Aged; D001416:Back Pain / Q000601:surgery; D046690:Deep Brain Stimulation; D017408:Guidelines as Topic; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery; D008297:Male; D016634:Radiosurgery / Q000009:adverse effects; D018570:Risk Assessment; D012449:Safety; D055009:Spondylosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D021801:Zygapophyseal Joint / Q000601:surgery