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Acta Neurochirurgica
Published in: Acta Neurochirurgica 9/2017

01-09-2017 | Original Article - Functional

Delayed complications of deep brain stimulation: 16-year experience in 249 patients

Authors: Gustavo Fernández-Pajarín, A. Sesar, B. Ares, J. L. Relova, E. Arán, M. Gelabert-González, A. Castro

Published in: Acta Neurochirurgica | Issue 9/2017

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Abstract

Background

Over the years, most of the deep brain stimulation (DBS) complications described have been mainly related to the surgery itself or the stimulation. Only a few authors have dealt with chronic complications or complications due to implanted material.

Methods

We retrospectively analyzed complications beyond the 1st month after surgery in 249 patients undergoing DBS at our site for 16 years, with 321 interventions overall.

Results

Our results show that infection is the most frequent delayed complication (12.5%), the pulse generator being the most common location. Lead breaks (9.3%) are the second most frequent complication. Symptomatic peri-lead edema and cyst formation were exceptional.

Conclusions

The best knowledge about DBS complications allows for better solutions. In case of infection, conservative treatment or partial removal of the DBS system appears to be safe and reasonable. Intracranial complications related to DBS material such as peri-lead edema and cyst formation have a good prognosis. They may appear long after DBS implantation.
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Metadata
Title
Delayed complications of deep brain stimulation: 16-year experience in 249 patients
Authors
Gustavo Fernández-Pajarín
A. Sesar
B. Ares
J. L. Relova
E. Arán
M. Gelabert-González
A. Castro
Publication date
01-09-2017
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 9/2017
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-017-3252-7

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