Long-Term Surgical and Hardware-Related Complications of Deep Brain Stimulation
@article{Doshi2011LongTermSA, title={Long-Term Surgical and Hardware-Related Complications of Deep Brain Stimulation}, author={Paresh K Doshi}, journal={Stereotactic and Functional Neurosurgery}, year={2011}, volume={89}, pages={89 - 95} }
Objective: To evaluate the incidence of surgical and hardware-associated complications of deep brain stimulation (DBS) for a range of movement disorders. Methods: The study design is a retrospective analysis and review of surgical and hardware complications of DBS performed by a single surgeon from 1999 to 2009. A total of 153 cases of DBS (298 electrodes) for various movement disorders and a minimum follow-up of 1 year have been included. Two patients could not be implanted. A further 54…
99 Citations
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Erosion and infection of the surgical site represents the most frequent hardware complication and the complication rate also decreases with cumulative years of experience, demonstrating a learning curve effect.
Experience Reduces Surgical and Hardware-Related Complications of Deep Brain Stimulation Surgery: A Single-Center Study of 181 Patients Operated in Six Years
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The rates of both early and late complications of DBS surgery are acceptably low and decrease significantly with cumulative experience.
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- 2017
In case of infection, conservative treatment or partial removal of the DBS system appears to be safe and reasonable, and intracranial complications related to DBS material such as peri-lead edema and cyst formation have a good prognosis.
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- MedicineBrain Stimulation
- 2017
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- MedicineStereotactic and Functional Neurosurgery
- 2012
DBS is a safe intervention with a relatively low rate of hardware complications, but its usefulness is limited by complications related to the hardware.
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- MedicineStereotactic and Functional Neurosurgery
- 2014
The 30-day infection rate in the DBS cases reviewed was comparably low to other published studies, and several factors were noted to be significant in the cumulative infection group, but none in the 30- day infection group.
The safety issues and hardware-related complications of deep brain stimulation therapy: a single-center retrospective analysis of 478 patients with Parkinson’s disease
- MedicineClinical interventions in aging
- 2017
Although prophylactic antibiotics and steroids or antihistamine drugs may reduce the risk of infection, it is imperative to identify high-risk patients for whom a therapeutic approach not requiring an implantable device is more suitable, for example, pallidotomy and potentially transcranial ultrasound.
Deep brain stimulation hardware-related infections: 10-year experience at a single institution.
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- 2018
It is suggested that intrawound VP may help to reduce the SSI risk after DBS implantation, and continued follow-up for at least 1 year after such a procedure is prudent to establish the true burden of these infections and to properly treat them when they do occur.
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The body of evidence suggesting placement of a complete DBS system during a single procedure appears to be an efficacious and well-tolerated option is expanded.
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- MedicinePloS one
- 2017
It is hypothesized that a change in surgical technique and a more effective lead fixation device might mitigate the problem of lead migration in cases with lead migration.
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