PMC10161199_01
(A) Photo of a rechargeable IPG with the expected normal positioning of the DBS leads which exit to the right of the device; the device label is noted to have an upward orientation with the manufacturing label intentionally obscured, (B) A plain film X-ray series from our case demonstrating the abnormal insertion of the leads on the left side suggestive of flipping.
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F1
Plain film X-rays revealed the IPG had flipped 180  along its long axis (see Figure 1).