[Surgical complications of deep brain stimulation: clinical experience of 184 cases].
Identifieur interne : 000842 ( PubMed/Corpus ); précédent : 000841; suivant : 000843[Surgical complications of deep brain stimulation: clinical experience of 184 cases].
Auteurs : V. Mendes Martins ; J. Coste ; P. Derost ; M. Ulla ; J. Gabrillargues ; F. Durif ; J. Chazal ; J-J LemaireSource :
- Neuro-Chirurgie [ 1773-0619 ] ; 2012.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Brain Mapping, Deep Brain Stimulation (adverse effects), Deep Brain Stimulation (methods), Dystonia (surgery), Electrodes, Implanted, Essential Tremor (surgery), Female, Globus Pallidus (surgery), Humans, Magnetic Resonance Imaging, Male, Middle Aged, Neurosurgical Procedures (adverse effects), Neurosurgical Procedures (methods), Obsessive-Compulsive Disorder (surgery), Parkinson Disease (surgery), Postoperative Complications (epidemiology), Reoperation, Retrospective Studies, Stereotaxic Techniques, Subthalamic Nucleus (surgery), Thalamus (surgery).
- MESH :
- adverse effects : Deep Brain Stimulation, Neurosurgical Procedures.
- epidemiology : Postoperative Complications.
- methods : Deep Brain Stimulation, Neurosurgical Procedures.
- surgery : Dystonia, Essential Tremor, Globus Pallidus, Obsessive-Compulsive Disorder, Parkinson Disease, Subthalamic Nucleus, Thalamus.
- Adult, Aged, Aged, 80 and over, Brain Mapping, Electrodes, Implanted, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Reoperation, Retrospective Studies, Stereotaxic Techniques.
Abstract
Deep brain stimulation (DBS) is an effective treatment of movement disorders and psychiatric diseases. However, this surgery is still time consuming and associated with complications, among which we aimed to identify non-stimulo-induced adverse effects. Hence, we retrospectively systematically analyzed patients operated on, at our institution, using magnetic resonance imaging (MRI) direct anatomic mapping.
DOI: 10.1016/j.neuchi.2012.02.004
PubMed: 22464604
Links to Exploration step
pubmed:22464604Le document en format XML
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<author><name sortKey="Mendes Martins, V" sort="Mendes Martins, V" uniqKey="Mendes Martins V" first="V" last="Mendes Martins">V. Mendes Martins</name>
<affiliation><nlm:affiliation>Service de neurochirurgie A, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 28, rue Montalembert, 63003 Clermont-Ferrand cedex 1, France. vmendesmartins@ch-annecy.fr</nlm:affiliation>
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<author><name sortKey="Coste, J" sort="Coste, J" uniqKey="Coste J" first="J" last="Coste">J. Coste</name>
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<author><name sortKey="Derost, P" sort="Derost, P" uniqKey="Derost P" first="P" last="Derost">P. Derost</name>
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<author><name sortKey="Ulla, M" sort="Ulla, M" uniqKey="Ulla M" first="M" last="Ulla">M. Ulla</name>
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<author><name sortKey="Gabrillargues, J" sort="Gabrillargues, J" uniqKey="Gabrillargues J" first="J" last="Gabrillargues">J. Gabrillargues</name>
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<author><name sortKey="Durif, F" sort="Durif, F" uniqKey="Durif F" first="F" last="Durif">F. Durif</name>
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<author><name sortKey="Chazal, J" sort="Chazal, J" uniqKey="Chazal J" first="J" last="Chazal">J. Chazal</name>
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<author><name sortKey="Lemaire, J J" sort="Lemaire, J J" uniqKey="Lemaire J" first="J-J" last="Lemaire">J-J Lemaire</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[Surgical complications of deep brain stimulation: clinical experience of 184 cases].</title>
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<affiliation><nlm:affiliation>Service de neurochirurgie A, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 28, rue Montalembert, 63003 Clermont-Ferrand cedex 1, France. vmendesmartins@ch-annecy.fr</nlm:affiliation>
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<author><name sortKey="Coste, J" sort="Coste, J" uniqKey="Coste J" first="J" last="Coste">J. Coste</name>
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<series><title level="j">Neuro-Chirurgie</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Brain Mapping</term>
<term>Deep Brain Stimulation (adverse effects)</term>
<term>Deep Brain Stimulation (methods)</term>
<term>Dystonia (surgery)</term>
<term>Electrodes, Implanted</term>
<term>Essential Tremor (surgery)</term>
<term>Female</term>
<term>Globus Pallidus (surgery)</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neurosurgical Procedures (adverse effects)</term>
<term>Neurosurgical Procedures (methods)</term>
<term>Obsessive-Compulsive Disorder (surgery)</term>
<term>Parkinson Disease (surgery)</term>
<term>Postoperative Complications (epidemiology)</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Stereotaxic Techniques</term>
<term>Subthalamic Nucleus (surgery)</term>
<term>Thalamus (surgery)</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Deep Brain Stimulation</term>
<term>Neurosurgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term>
<term>Neurosurgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Dystonia</term>
<term>Essential Tremor</term>
<term>Globus Pallidus</term>
<term>Obsessive-Compulsive Disorder</term>
<term>Parkinson Disease</term>
<term>Subthalamic Nucleus</term>
<term>Thalamus</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Brain Mapping</term>
<term>Electrodes, Implanted</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Stereotaxic Techniques</term>
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<front><div type="abstract" xml:lang="en">Deep brain stimulation (DBS) is an effective treatment of movement disorders and psychiatric diseases. However, this surgery is still time consuming and associated with complications, among which we aimed to identify non-stimulo-induced adverse effects. Hence, we retrospectively systematically analyzed patients operated on, at our institution, using magnetic resonance imaging (MRI) direct anatomic mapping.</div>
</front>
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<DateCreated><Year>2012</Year>
<Month>08</Month>
<Day>13</Day>
</DateCreated>
<DateCompleted><Year>2012</Year>
<Month>12</Month>
<Day>27</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>04</Month>
<Day>14</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1773-0619</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>58</Volume>
<Issue>4</Issue>
<PubDate><Year>2012</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>Neuro-Chirurgie</Title>
<ISOAbbreviation>Neurochirurgie</ISOAbbreviation>
</Journal>
<ArticleTitle>[Surgical complications of deep brain stimulation: clinical experience of 184 cases].</ArticleTitle>
<Pagination><MedlinePgn>219-24</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.neuchi.2012.02.004</ELocationID>
<Abstract><AbstractText Label="BACKGROUND AND PURPOSE" NlmCategory="OBJECTIVE">Deep brain stimulation (DBS) is an effective treatment of movement disorders and psychiatric diseases. However, this surgery is still time consuming and associated with complications, among which we aimed to identify non-stimulo-induced adverse effects. Hence, we retrospectively systematically analyzed patients operated on, at our institution, using magnetic resonance imaging (MRI) direct anatomic mapping.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">One hundred and seventy-five patients (184 surgeries) were performed between 1994 and 2008, for Parkinson's disease, essential tremor, dystonia and obsessive compulsive disorder. Primary anatomic targets were the subthalamic region, the intern pallidum and the thalamus. Final electrode positioning was adjusted according to intraoperative neuron recordings and acute stimulation tests. All surgically related adverse effects were collected. Life threatening or new non-planed surgery was considered as severe adverse effects.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Adverse effects occurred 10 times (5.4%) during MRI acquisition, 24 times (13%) with five serious (2.7%) including one1 death (0.5%) during electrodes implantation and 17 times (9.2%) with four serious (2.2%) during neuropacemaker implantation. Electrodes were repositioned in six cases (five patients, n=3.4%).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">DBS efficiency is recognized however the significant incidence of adverse effects should prompt us to improve the procedures.</AbstractText>
<CopyrightInformation>Copyright © 2012. Published by Elsevier Masson SAS.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mendes Martins</LastName>
<ForeName>V</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Service de neurochirurgie A, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 28, rue Montalembert, 63003 Clermont-Ferrand cedex 1, France. vmendesmartins@ch-annecy.fr</Affiliation>
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<Author ValidYN="Y"><LastName>Coste</LastName>
<ForeName>J</ForeName>
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<Author ValidYN="Y"><LastName>Derost</LastName>
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<Author ValidYN="Y"><LastName>Ulla</LastName>
<ForeName>M</ForeName>
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<Author ValidYN="Y"><LastName>Gabrillargues</LastName>
<ForeName>J</ForeName>
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<Author ValidYN="Y"><LastName>Durif</LastName>
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<Author ValidYN="Y"><LastName>Chazal</LastName>
<ForeName>J</ForeName>
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<Author ValidYN="Y"><LastName>Lemaire</LastName>
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<Initials>JJ</Initials>
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<VernacularTitle>Complications chirurgicales de la stimulation cérébrale profonde : expérience clinique à propos de 184 cas.</VernacularTitle>
<ArticleDate DateType="Electronic"><Year>2012</Year>
<Month>03</Month>
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