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Diagnosis and treatment of complications related to deep brain stimulation hardware

✍ Scribed by José Fidel Baizabal Carvallo; Richard Simpson; Joseph Jankovic


Publisher
John Wiley and Sons
Year
2011
Tongue
English
Weight
367 KB
Volume
26
Category
Article
ISSN
0885-3185

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✦ Synopsis


Abstract

Deep brain stimulation is a therapeutic technique increasingly used in the treatment of a variety of neurological, psychiatric, and pain disorders. Although beneficial, it carries the immediate and long‐term risks associated with implanted hardware in the brain parenchyma and subcutaneous tissue. The most common hardware complications include electrode migrations or misplacements, wire fractures, skin erosion, infections, and device malfunction. We systematically reviewed the literature on deep brain stimulation–related complications and propose a diagnostic and therapeutic algorithm. Our aim is to provide a guide for clinicians and medical staff involved in the treatment of patients with deep brain stimulation for rapid recognition and efficient management of these complications. © 2011 Movement Disorder Society


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