| Avoidance and management of surgical and hardware-related complications of deep brain stimulation. | |
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MedLine Citation:
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PMID: 20588081 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Although deep brain stimulation (DBS) is nonablative, it may give rise to many complications. In order to identify and reduce factors contributing to the complications, we performed a retrospective analysis of patients who received DBS in our institution over a 9-year period from March 2000 to December 2008. METHODS: Included in this study were 161 patients (85 male and 76 female). Data from these patients were collected and analyzed with respect to the complications and factors potentially related to these complications. RESULTS: A total of 25 surgical and hardware-related complications occurred in 24 patients, including confusion in 11 cases (6.83%), asymptomatic intracranial hemorrhage in 1 case (0.62%), electrode misplacement in 2 cases (1.24%), infection of the subcutaneous pocket receiving the pulse generator in 1 case (0.62%), skin erosion in 2 cases (1.24%), pulse generator seroma formation in 6 cases (3.72%), and device malfunction in 1 case (0.62%). There was no permanent neurological deficit. CONCLUSION: Confusion is the most common complication in simultaneous bilateral DBS targeting the subthalamic nucleus, especially in patients with severe Parkinson's disease. With increasing experience of surgeons, complete obedience to intraoperative surgical routines and reasonable application of the microelectrode recording technique, other complications could also be reduced. |
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Authors:
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Xiaowu Hu; Xiufeng Jiang; Xiaoping Zhou; Jinchuan Liang; Laixing Wang; Yiqun Cao; Jianmin Liu; Aiguo Jin; Pengfei Yang |
Publication Detail:
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Type: Journal Article Date: 2010-06-24 |
Journal Detail:
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Title: Stereotactic and functional neurosurgery Volume: 88 ISSN: 1423-0372 ISO Abbreviation: Stereotact Funct Neurosurg Publication Date: 2010 |
Date Detail:
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Created Date: 2010-09-14 Completed Date: 2010-12-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8902881 Medline TA: Stereotact Funct Neurosurg Country: Switzerland |
Other Details:
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Languages: eng Pagination: 296-303 Citation Subset: IM |
Copyright Information:
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2010 S. Karger AG, Basel. |
Affiliation:
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Department of Neurosurgery, Second Military Medical University, Shanghai, PR China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Confusion / etiology Deep Brain Stimulation / adverse effects, instrumentation* Dystonia / therapy* Electrodes, Implanted / adverse effects* Essential Tremor / therapy* Female Humans Intracranial Hemorrhages / etiology Male Middle Aged Parkinson Disease / therapy* Prosthesis Failure / adverse effects* Retrospective Studies Subthalamic Nucleus / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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