Deep-brain stimulation (DBS) is a useful therapeutic alternative in patients with movement disorders refractory to medical treatment. In fact, with this device very good results can be obtained, with outcomes comparable to those achieved with medical treatment.
1Nevertheless, with this technique, some hardware-related complications are relatively common.
- Weaver F.M.
- Follett K.
- Stern M.
- et al.
Bilateral deep brain stimulation vs best medical therapy for patients with advanced Parkinson disease: a randomized controlled trial.
J Am Med Ass. 2009; 301: 63-73
2In some cases, technical malfunction, lead migration or skin erosion and infection require removal of the system. On the one hand, hardware-related pressure under the scalp may cause erosion of the skin, and on the other hand, the foreign material implantation increases the contamination risk and subsequent infection. Even though a stimulation device extrusion may remain uninfected during a prolonged period of exposure, in most cases clinical signs of infection ensue. The aim of this letter is to describe our personal management of hardware-related scalp erosion in the DBS context.
- Paluzzi A.
- Belli A.
- Bain P.
- Liu X.
- Aziz T.M.
Operative and hardware complications of deep brain stimulation for movement disorders.
Br J Neurosurg. 2006; 20: 290-295
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- Bilateral deep brain stimulation vs best medical therapy for patients with advanced Parkinson disease: a randomized controlled trial.J Am Med Ass. 2009; 301: 63-73
- Operative and hardware complications of deep brain stimulation for movement disorders.Br J Neurosurg. 2006; 20: 290-295
- Methods of scalp revision for deep brain stimulator hardware: case report.Neurosurgery. 2008; 62: 249-250
- Microsurgical reconstruction: a more conservative method of managing large scalp defects?.J Reconstr Microsurg. 2009; 25: 465-474
- Enhancing the outcome of free latissimus dorsi muscle flap reconstruction of scalp defects.Head Neck. 2004; 26: 46-53
Published online: July 16, 2012
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.