Surgical and hardware complications of subthalamic stimulation
2004; Lippincott Williams & Wilkins; Volume: 63; Issue: 4 Linguagem: Inglês
10.1212/01.wnl.0000134650.91974.1a
ISSN1526-632X
AutoresKelly E. Lyons, Steven B. Wilkinson, John Overman, Rajesh Pahwa,
Tópico(s)Genetic Neurodegenerative Diseases
ResumoObjective: 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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