کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5626801 1579646 2017 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Systematic review of hardware-related complications of Deep Brain Stimulation: Do new indications pose an increased risk?
ترجمه فارسی عنوان
بررسی سیستماتیک عوارض جانبی سخت افزاری تحریک مغزی عمیق: آیا نشانه های جدید باعث افزایش خطر می شوند؟
کلمات کلیدی
تحریک مغزی عمیق، مرتبط با سخت افزار، عوارض،
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی روانپزشکی بیولوژیکی
چکیده انگلیسی


- This review identified the potential hardware-related complications from DBS procedures.
- New indications for DBS were found a higher incidence of infections than established indications.
- Patients who are at risk of complications should be informed prior and closely followed thereafter.

IntroductionDeep Brain Stimulation (DBS) is an effective treatment extended broadly to many neurological and psychiatric disorders. Nevertheless, complications may arise during DBS procedures or following implantation due to implanted hardware. This may result in both minor and major adverse events that may necessitate hardware removal and/or compromise maximal therapeutic benefit for the patient.Objectives and methodsTo identify relevant literature on hardware-related complications from DBS procedures by performing a systematic review, and propose how to identify at-risk group and possible preventive approaches.ResultsOf 4592 abstract screened, 96 articles fulfilled the selection criteria and were reviewed. Overall, the most common hardware-related complications were infections (5.12% of patients), followed by lead migration (1.60%), fracture or failure of the lead or other parts of the implant (1.46% and 0.73%, respectively), IPG malfunctions (1.06% of patients), and skin erosions without infections (0.48% of patients). New indications for DBS, including Tourette's syndrome, cluster headache, and refractory partial epilepsy, were found to bear a higher incidence of hardware-related infections than established indications such as Parkinson's disease. The highest rate of lead fracture or failure was found in dystonia patients (4.22%). Ultimately, the highest rate of pain at the implantation sites was found in refractory partial epilepsy patients (16.55%).ConclusionOur analysis identified a variety of potential hardware-related complications among patients who underwent DBS procedures. Patients who were at risk of complications, such as patients with dystonia and off-label indications (e.g. Tourette's syndrome) should be informed prior to surgery and closely followed thereafter.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Brain Stimulation - Volume 10, Issue 5, September–October 2017, Pages 967-976
نویسندگان
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