Complications of deep brain stimulation surgery
Identifieur interne : 004531 ( Main/Exploration ); précédent : 004530; suivant : 004532Complications of deep brain stimulation surgery
Auteurs : Marwan I. Hariz [Suède]Source :
- Movement Disorders [ 0885-3185 ] ; 2002-03.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Brain (vertebrata), Complication, Electric Stimulation Therapy, Electrodes, Implanted, Human, Humans, Instrumental stimulation, Movement Disorders (surgery), Movement Disorders (therapy), Parkinson Disease (surgery), Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Patient Selection, Secondary effect, Stereotaxic Techniques (adverse effects), Stereotaxic surgery, complication, deep brain stimulation, pallidum, stereotactic surgery, subthalamic nucleus, thalamus.
- MESH :
- adverse effects : Stereotaxic Techniques.
- surgery : Movement Disorders, Parkinson Disease.
- therapy : Movement Disorders, Parkinson Disease.
- Electric Stimulation Therapy, Electrodes, Implanted, Humans, Patient Selection.
Abstract
Currently, DBS is a commonly performed surgery for treatment of movement disorders, especially Parkinson's disease. Although nonablative and minimally invasive, this procedure may give rise to many complications and side effects, some of which are neither reversible nor adaptable. This study reviews the potential complications of DBS along the entire path of this procedure, from patient selection through the postoperative period. Although intraoperative complications such as paralysis and hematoma are rare, other serious complications due to the hardware, such as lead fracture, dislocation, and infection, are not uncommon. Complications or side effects as a result of chronic stimulation itself may be the most common. It is concluded that every member of the surgical team, including the referring neurologist, has an important role in the avoidance of such complications. Proper and careful patient selection, matching each patient to the specific DBS procedure appropriate for his/her symptom profile and suitable for his/her social and cognitive condition, along with experienced and careful intraoperative surgical routine, may be the best way to prevent the complications of DBS procedures. © 2002 Movement Disorder Society
Url:
DOI: 10.1002/mds.10159
Affiliations:
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Le document en format XML
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Hariz</name><affiliation wicri:level="1"><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Neurosurgery, University Hospital, Umeå</wicri:regionArea><wicri:noRegion>Umeå</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>New York</pubPlace><date type="published" when="2002-03">2002-03</date><biblScope unit="vol">17</biblScope><biblScope unit="issue">S3</biblScope><biblScope unit="supplement">3</biblScope><biblScope unit="page" from="S162">S162</biblScope><biblScope unit="page" to="S166">S166</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">6FEB51A8789B6CAC13644978CB414FCA32F57103</idno><idno type="DOI">10.1002/mds.10159</idno><idno type="ArticleID">MDS10159</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Brain (vertebrata)</term><term>Complication</term><term>Electric Stimulation Therapy</term><term>Electrodes, Implanted</term><term>Human</term><term>Humans</term><term>Instrumental stimulation</term><term>Movement Disorders (surgery)</term><term>Movement Disorders (therapy)</term><term>Parkinson Disease (surgery)</term><term>Parkinson Disease (therapy)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Patient Selection</term><term>Secondary effect</term><term>Stereotaxic Techniques (adverse effects)</term><term>Stereotaxic surgery</term><term>complication</term><term>deep brain stimulation</term><term>pallidum</term><term>stereotactic surgery</term><term>subthalamic nucleus</term><term>thalamus</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Stereotaxic Techniques</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Movement Disorders</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Movement Disorders</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Electric Stimulation Therapy</term><term>Electrodes, Implanted</term><term>Humans</term><term>Patient Selection</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Chirurgie stéréotaxique</term><term>Complication</term><term>Effet secondaire</term><term>Encéphale</term><term>Homme</term><term>Parkinson maladie</term><term>Stimulation instrumentale</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Currently, DBS is a commonly performed surgery for treatment of movement disorders, especially Parkinson's disease. Although nonablative and minimally invasive, this procedure may give rise to many complications and side effects, some of which are neither reversible nor adaptable. This study reviews the potential complications of DBS along the entire path of this procedure, from patient selection through the postoperative period. Although intraoperative complications such as paralysis and hematoma are rare, other serious complications due to the hardware, such as lead fracture, dislocation, and infection, are not uncommon. Complications or side effects as a result of chronic stimulation itself may be the most common. It is concluded that every member of the surgical team, including the referring neurologist, has an important role in the avoidance of such complications. Proper and careful patient selection, matching each patient to the specific DBS procedure appropriate for his/her symptom profile and suitable for his/her social and cognitive condition, along with experienced and careful intraoperative surgical routine, may be the best way to prevent the complications of DBS procedures. © 2002 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Suède</li></country></list><tree><country name="Suède"><noRegion><name sortKey="Hariz, Marwan I" sort="Hariz, Marwan I" uniqKey="Hariz M" first="Marwan I." last="Hariz">Marwan I. Hariz</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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