Surgical and hardware complications of subthalamic stimulation
A series of 160 procedures
Abstract
Objective: To assess the surgical and hardware complications in a series of 81 consecutive patients undergoing subthalamic (STN) deep brain stimulation (DBS) for Parkinson disease (PD).
Methods: The authors prospectively documented surgical and hardware complications occurring at the time of surgery and at subsequent neurologic and surgical evaluations for an average of 17 months, ranging from 1 to 54 months.
Results: No patient had a serious surgical complication resulting in death or permanent neurologic deficit. One patient had an intracranial hemorrhage but with no permanent deficit. In follow-up, 2.5% had infections requiring system removal, 3.7% had infections requiring implantable pulse generator (IPG) removal, 12.5% had misplaced leads, and 26.2% had hardware complications including lead migration, lead fracture, extension erosion, extension fracture, and IPG malfunction.
Conclusion: Serious complications leading to permanent neurologic deficit are rare after STN DBS for advanced PD. However, long-term follow-up demonstrated that hardware complications are relatively common, having occurred in approximately 26% of these patients.
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Publication History
Received: September 24, 2003
Accepted: March 22, 2004
Published online: August 23, 2004
Published in print: August 24, 2004
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- Deep Brain Stimulation for Dystonia: Experience of a Moroccan University Hospital, Pediatric Neurology, 148, (23-27), (2023).https://doi.org/10.1016/j.pediatrneurol.2023.08.002
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- Complications of deep brain stimulation in Parkinson’s disease: a single-center experience of 517 consecutive cases, Acta Neurochirurgica, 165, 11, (3385-3396), (2023).https://doi.org/10.1007/s00701-023-05799-w
- Complications of Deep Brain Stimulation for Movement Disorders: Literature Review and Personal Experience, Complications in Neurosurgery, (121-126), (2023).https://doi.org/10.1007/978-3-030-12887-6_15
- Long‐term efficacy of deep brain stimulation of the subthalamic nucleus in patients with pharmacologically intractable epilepsy: A case series of six patients, Epileptic Disorders, 25, 5, (712-723), (2023).https://doi.org/10.1002/epd2.20129
- Complications After Deep Brain Stimulation: A 21-Year Experience in 426 Patients, Frontiers in Aging Neuroscience, 14, (2022).https://doi.org/10.3389/fnagi.2022.819730
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