Maintained deep brain stimulation for severe dystonia despite infection by using externalized electrodes and an extracorporeal pulse generator.

Infection in the context of implant surgery is a dreaded complication, usually necessitating the removal of all affected hardware. Severe dystonia is a debilitating condition that can present as an emergency and can occasionally be life threatening. The authors present 2 cases of severe dystonia in...

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Main Authors: Hyam, J, de Pennington, N, Joint, C, Green, A, Owen, S, Pereira, E, Aziz, T
Format: Journal article
Language:English
Published: 2010
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author Hyam, J
de Pennington, N
Joint, C
Green, A
Owen, S
Pereira, E
Aziz, T
author_facet Hyam, J
de Pennington, N
Joint, C
Green, A
Owen, S
Pereira, E
Aziz, T
author_sort Hyam, J
collection OXFORD
description Infection in the context of implant surgery is a dreaded complication, usually necessitating the removal of all affected hardware. Severe dystonia is a debilitating condition that can present as an emergency and can occasionally be life threatening. The authors present 2 cases of severe dystonia in which deep brain stimulation was maintained despite the presence of infection, using ongoing stimulation by externalization of electrode wires and an extracorporeal pulse generator. This allowed the infection to clear and wounds to heal while maintaining stimulation. This strategy is similar to that used in the management of infected cardiac pacemakers. The authors suggest that this prolonged extracorporeal stimulation should be considered by neurosurgeons in the face of this difficult clinical situation.
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spelling oxford-uuid:122d3e01-133c-4bb0-b41b-dcee5cd789cf2022-03-26T10:06:26ZMaintained deep brain stimulation for severe dystonia despite infection by using externalized electrodes and an extracorporeal pulse generator.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:122d3e01-133c-4bb0-b41b-dcee5cd789cfEnglishSymplectic Elements at Oxford2010Hyam, Jde Pennington, NJoint, CGreen, AOwen, SPereira, EAziz, TInfection in the context of implant surgery is a dreaded complication, usually necessitating the removal of all affected hardware. Severe dystonia is a debilitating condition that can present as an emergency and can occasionally be life threatening. The authors present 2 cases of severe dystonia in which deep brain stimulation was maintained despite the presence of infection, using ongoing stimulation by externalization of electrode wires and an extracorporeal pulse generator. This allowed the infection to clear and wounds to heal while maintaining stimulation. This strategy is similar to that used in the management of infected cardiac pacemakers. The authors suggest that this prolonged extracorporeal stimulation should be considered by neurosurgeons in the face of this difficult clinical situation.
spellingShingle Hyam, J
de Pennington, N
Joint, C
Green, A
Owen, S
Pereira, E
Aziz, T
Maintained deep brain stimulation for severe dystonia despite infection by using externalized electrodes and an extracorporeal pulse generator.
title Maintained deep brain stimulation for severe dystonia despite infection by using externalized electrodes and an extracorporeal pulse generator.
title_full Maintained deep brain stimulation for severe dystonia despite infection by using externalized electrodes and an extracorporeal pulse generator.
title_fullStr Maintained deep brain stimulation for severe dystonia despite infection by using externalized electrodes and an extracorporeal pulse generator.
title_full_unstemmed Maintained deep brain stimulation for severe dystonia despite infection by using externalized electrodes and an extracorporeal pulse generator.
title_short Maintained deep brain stimulation for severe dystonia despite infection by using externalized electrodes and an extracorporeal pulse generator.
title_sort maintained deep brain stimulation for severe dystonia despite infection by using externalized electrodes and an extracorporeal pulse generator
work_keys_str_mv AT hyamj maintaineddeepbrainstimulationforseveredystoniadespiteinfectionbyusingexternalizedelectrodesandanextracorporealpulsegenerator
AT depenningtonn maintaineddeepbrainstimulationforseveredystoniadespiteinfectionbyusingexternalizedelectrodesandanextracorporealpulsegenerator
AT jointc maintaineddeepbrainstimulationforseveredystoniadespiteinfectionbyusingexternalizedelectrodesandanextracorporealpulsegenerator
AT greena maintaineddeepbrainstimulationforseveredystoniadespiteinfectionbyusingexternalizedelectrodesandanextracorporealpulsegenerator
AT owens maintaineddeepbrainstimulationforseveredystoniadespiteinfectionbyusingexternalizedelectrodesandanextracorporealpulsegenerator
AT pereirae maintaineddeepbrainstimulationforseveredystoniadespiteinfectionbyusingexternalizedelectrodesandanextracorporealpulsegenerator
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