Surgical and hardware complications in subthalamic nucleus deep brain stimulation

Yu Cheng Chou; Shinn Zong Lin; Wanhua Annie Hsieh; Sheng Huang Lin; Chao Chin Lee; Yue Long Hsin; Pao Sheng Yen; Chi Wei Lee; Wen Ta Chiu; Shin Yuan Chen

doi:10.1016/j.jocn.2006.02.016

Surgical and hardware complications in subthalamic nucleus deep brain stimulation

Yu Cheng Chou, Shinn Zong Lin, Wanhua Annie Hsieh, Sheng Huang Lin, Chao Chin Lee, Yue Long Hsin, Pao Sheng Yen, Chi Wei Lee, Wen Ta Chiu, Shin Yuan Chen

Research output: Contribution to journal › Article › peer-review

35 Citations (Scopus)

Abstract

Objective: To assess the surgical and hardware complications in 26 consecutive patients with movement disorders undergoing subthalamic deep brain stimulation (STN-DBS) in early practice at our institute. Methods: The 26 patients in our institute were analyzed retrospectively. Group A included the first eight patients treated while we had no facility for microelectrode recording (MER), 16 intracranial procedures were performed and 8 batteries were implanted. Group B (with MER) included 18 patients, 35 intracranial procedures were performed and 18 batteries were implanted. Results: The intracranial morbidity was 18.75% in group A and 5.71% in group B. The extracranial morbidity was 37.5% in group A and 16.67% in group B. There was no hardware-related infection in our study. The overall mortality rate was 7.69%, and deaths were not surgical related. Conclusions: The associated morbidity is significant in STN-DBS. The use of MER may improve the clinical outcome while decreasing the morbidity.

Original language	English
Pages (from-to)	643-649
Number of pages	7
Journal	Journal of Clinical Neuroscience
Volume	14
Issue number	7
DOIs	https://doi.org/10.1016/j.jocn.2006.02.016
Publication status	Published - Jul 2007

Keywords

Complication
Deep brain stimulation
Microelectrode recording
Subthalamic nucleus

ASJC Scopus subject areas

Surgery
Neurology
Clinical Neurology
Physiology (medical)

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10.1016/j.jocn.2006.02.016

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@article{5cb72d6426034e0389db6aea40cfa24e,

title = "Surgical and hardware complications in subthalamic nucleus deep brain stimulation",

abstract = "Objective: To assess the surgical and hardware complications in 26 consecutive patients with movement disorders undergoing subthalamic deep brain stimulation (STN-DBS) in early practice at our institute. Methods: The 26 patients in our institute were analyzed retrospectively. Group A included the first eight patients treated while we had no facility for microelectrode recording (MER), 16 intracranial procedures were performed and 8 batteries were implanted. Group B (with MER) included 18 patients, 35 intracranial procedures were performed and 18 batteries were implanted. Results: The intracranial morbidity was 18.75% in group A and 5.71% in group B. The extracranial morbidity was 37.5% in group A and 16.67% in group B. There was no hardware-related infection in our study. The overall mortality rate was 7.69%, and deaths were not surgical related. Conclusions: The associated morbidity is significant in STN-DBS. The use of MER may improve the clinical outcome while decreasing the morbidity.",

keywords = "Complication, Deep brain stimulation, Microelectrode recording, Subthalamic nucleus",

author = "Chou, {Yu Cheng} and Lin, {Shinn Zong} and Hsieh, {Wanhua Annie} and Lin, {Sheng Huang} and Lee, {Chao Chin} and Hsin, {Yue Long} and Yen, {Pao Sheng} and Lee, {Chi Wei} and Chiu, {Wen Ta} and Chen, {Shin Yuan}",

note = "Funding Information: We are grateful for support from Master Cheng Yen, President of the Tzu-Chi Foundation. This study was supported by grants from the Tzu-Chi Medical Center (TCRD93-06). We would like to acknowledge Miss Ting Wen Hou for data processing and statistical analysis.",

year = "2007",

month = jul,

doi = "10.1016/j.jocn.2006.02.016",

language = "English",

volume = "14",

pages = "643--649",

journal = "Journal of Clinical Neuroscience",

issn = "0967-5868",

publisher = "Churchill Livingstone",

number = "7",

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TY - JOUR

T1 - Surgical and hardware complications in subthalamic nucleus deep brain stimulation

AU - Chou, Yu Cheng

AU - Lin, Shinn Zong

AU - Hsieh, Wanhua Annie

AU - Lin, Sheng Huang

AU - Lee, Chao Chin

AU - Hsin, Yue Long

AU - Yen, Pao Sheng

AU - Lee, Chi Wei

AU - Chiu, Wen Ta

AU - Chen, Shin Yuan

N1 - Funding Information: We are grateful for support from Master Cheng Yen, President of the Tzu-Chi Foundation. This study was supported by grants from the Tzu-Chi Medical Center (TCRD93-06). We would like to acknowledge Miss Ting Wen Hou for data processing and statistical analysis.

PY - 2007/7

Y1 - 2007/7

N2 - Objective: To assess the surgical and hardware complications in 26 consecutive patients with movement disorders undergoing subthalamic deep brain stimulation (STN-DBS) in early practice at our institute. Methods: The 26 patients in our institute were analyzed retrospectively. Group A included the first eight patients treated while we had no facility for microelectrode recording (MER), 16 intracranial procedures were performed and 8 batteries were implanted. Group B (with MER) included 18 patients, 35 intracranial procedures were performed and 18 batteries were implanted. Results: The intracranial morbidity was 18.75% in group A and 5.71% in group B. The extracranial morbidity was 37.5% in group A and 16.67% in group B. There was no hardware-related infection in our study. The overall mortality rate was 7.69%, and deaths were not surgical related. Conclusions: The associated morbidity is significant in STN-DBS. The use of MER may improve the clinical outcome while decreasing the morbidity.

AB - Objective: To assess the surgical and hardware complications in 26 consecutive patients with movement disorders undergoing subthalamic deep brain stimulation (STN-DBS) in early practice at our institute. Methods: The 26 patients in our institute were analyzed retrospectively. Group A included the first eight patients treated while we had no facility for microelectrode recording (MER), 16 intracranial procedures were performed and 8 batteries were implanted. Group B (with MER) included 18 patients, 35 intracranial procedures were performed and 18 batteries were implanted. Results: The intracranial morbidity was 18.75% in group A and 5.71% in group B. The extracranial morbidity was 37.5% in group A and 16.67% in group B. There was no hardware-related infection in our study. The overall mortality rate was 7.69%, and deaths were not surgical related. Conclusions: The associated morbidity is significant in STN-DBS. The use of MER may improve the clinical outcome while decreasing the morbidity.

KW - Complication

KW - Deep brain stimulation

KW - Microelectrode recording

KW - Subthalamic nucleus

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Surgical and hardware complications in subthalamic nucleus deep brain stimulation

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