•Consider tissue expanders for challenging DBS cases in PD patients with hardware erosion.•Placement of tissue expander is essential in planning the reconstruction.•MRI-compatibility of the tissue expander is paramount for shortening the total duration of anesthesia.•Role of routine skin biopsies to identify PD patients at additional risk for developing scalp defects should be investigated.
Keywords: Deep brain stimulation; Hardware erosion; Impulse generator; Parkinson's disease; Scalp defect; Tissue expander.
© 2022 The Authors.