Hardware-related problems of deep brain stimulation.
Identifieur interne : 000776 ( Ncbi/Merge ); précédent : 000775; suivant : 000777Hardware-related problems of deep brain stimulation.
Auteurs : Carole Joint [Royaume-Uni] ; Dipankar Nandi ; Simon Parkin ; Ralph Gregory ; Tipu AzizSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2002.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Electric Stimulation Therapy (adverse effects), Electric Stimulation Therapy (instrumentation), Electrodes, Implanted (adverse effects), Equipment Failure, Female, Follow-Up Studies, Humans, Male, Middle Aged, Movement Disorders (therapy), Pain Management.
- MESH :
- adverse effects : Electric Stimulation Therapy, Electrodes, Implanted.
- instrumentation : Electric Stimulation Therapy.
- therapy : Movement Disorders.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Equipment Failure, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pain Management.
Abstract
Deep brain stimulation for the alleviation of movement disorders and pain is now an established therapy. However, very little has been published on the topic of hardware failure in the treatment of such conditions irrespective of clinical outcome. Such device-related problems lead to significant patient morbidity and increased cost of therapy in the form of prolonged antibiotics, in-patient hospitalization, repeat surgery, and device replacement. We report a prospective review of our experience at the Radcliffe Infirmary Oxford from the period of April 1998 to March 2001. Overall there is a 20% rate of hardware-related problems in this series, which falls between the 7% and 65% rates reported by other groups. The majority of these failures occurred early on in the series, and numbers declined with experience. Some of the problems may be idiosyncratic to the methodology of individual groups.
PubMed: 11948774
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pubmed:11948774Le document en format XML
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<affiliation wicri:level="3"><nlm:affiliation>Department of Neurosurgery, Radcliffe Infirmary, Woodstock Road, Oxford, United Kingdom.</nlm:affiliation>
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<author><name sortKey="Parkin, Simon" sort="Parkin, Simon" uniqKey="Parkin S" first="Simon" last="Parkin">Simon Parkin</name>
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<author><name sortKey="Gregory, Ralph" sort="Gregory, Ralph" uniqKey="Gregory R" first="Ralph" last="Gregory">Ralph Gregory</name>
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<author><name sortKey="Aziz, Tipu" sort="Aziz, Tipu" uniqKey="Aziz T" first="Tipu" last="Aziz">Tipu Aziz</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
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<term>Aged, 80 and over</term>
<term>Child</term>
<term>Electric Stimulation Therapy (adverse effects)</term>
<term>Electric Stimulation Therapy (instrumentation)</term>
<term>Electrodes, Implanted (adverse effects)</term>
<term>Equipment Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Movement Disorders (therapy)</term>
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<term>Electrodes, Implanted</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Child</term>
<term>Equipment Failure</term>
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<term>Follow-Up Studies</term>
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<front><div type="abstract" xml:lang="en">Deep brain stimulation for the alleviation of movement disorders and pain is now an established therapy. However, very little has been published on the topic of hardware failure in the treatment of such conditions irrespective of clinical outcome. Such device-related problems lead to significant patient morbidity and increased cost of therapy in the form of prolonged antibiotics, in-patient hospitalization, repeat surgery, and device replacement. We report a prospective review of our experience at the Radcliffe Infirmary Oxford from the period of April 1998 to March 2001. Overall there is a 20% rate of hardware-related problems in this series, which falls between the 7% and 65% rates reported by other groups. The majority of these failures occurred early on in the series, and numbers declined with experience. Some of the problems may be idiosyncratic to the methodology of individual groups.</div>
</front>
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<Month>04</Month>
<Day>11</Day>
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<DateCompleted><Year>2002</Year>
<Month>05</Month>
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<DateRevised><Year>2011</Year>
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<Article PubModel="Print"><Journal><ISSN IssnType="Print">0885-3185</ISSN>
<JournalIssue CitedMedium="Print"><Volume>17 Suppl 3</Volume>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
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<ArticleTitle>Hardware-related problems of deep brain stimulation.</ArticleTitle>
<Pagination><MedlinePgn>S175-80</MedlinePgn>
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<Abstract><AbstractText>Deep brain stimulation for the alleviation of movement disorders and pain is now an established therapy. However, very little has been published on the topic of hardware failure in the treatment of such conditions irrespective of clinical outcome. Such device-related problems lead to significant patient morbidity and increased cost of therapy in the form of prolonged antibiotics, in-patient hospitalization, repeat surgery, and device replacement. We report a prospective review of our experience at the Radcliffe Infirmary Oxford from the period of April 1998 to March 2001. Overall there is a 20% rate of hardware-related problems in this series, which falls between the 7% and 65% rates reported by other groups. The majority of these failures occurred early on in the series, and numbers declined with experience. Some of the problems may be idiosyncratic to the methodology of individual groups.</AbstractText>
<CopyrightInformation>Copyright 2002 Movement Disorder Society</CopyrightInformation>
</Abstract>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
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