Increased risk of lead fracture and migration in dystonia compared with other movement disorders following deep brain stimulation.

Deep brain stimulation (DBS) therapy is a continually expanding field in the functional neurosurgical treatment of movement disorders. However, the occurrence of adverse events related to implanted hardware cannot be overlooked. We report on a specific feature noted in our experience of DBS-related...

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Main Authors: Yianni, J, Nandi, D, Shad, A, Bain, P, Gregory, R, Aziz, T
Format: Journal article
Language:English
Published: 2004
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author Yianni, J
Nandi, D
Shad, A
Bain, P
Gregory, R
Aziz, T
author_facet Yianni, J
Nandi, D
Shad, A
Bain, P
Gregory, R
Aziz, T
author_sort Yianni, J
collection OXFORD
description Deep brain stimulation (DBS) therapy is a continually expanding field in the functional neurosurgical treatment of movement disorders. However, the occurrence of adverse events related to implanted hardware cannot be overlooked. We report on a specific feature noted in our experience of DBS-related complications. From 1998 until present we have found an overall rate of 5.3% of DBS electrode lead dysfunction (out of 133 patients) in our series (slipped leads 2.3%, lead fracture 3.8%). Interestingly, all of these failures occurred in dystonia patients (18.4% of all dystonia patients and 9.2% of all electrodes). We postulate on mechanisms that may explain why these complications predominate in this group of patients.
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spelling oxford-uuid:fed6a6a9-99e0-4938-87c8-5f14b50f01342022-03-27T13:39:41ZIncreased risk of lead fracture and migration in dystonia compared with other movement disorders following deep brain stimulation.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:fed6a6a9-99e0-4938-87c8-5f14b50f0134EnglishSymplectic Elements at Oxford2004Yianni, JNandi, DShad, ABain, PGregory, RAziz, TDeep brain stimulation (DBS) therapy is a continually expanding field in the functional neurosurgical treatment of movement disorders. However, the occurrence of adverse events related to implanted hardware cannot be overlooked. We report on a specific feature noted in our experience of DBS-related complications. From 1998 until present we have found an overall rate of 5.3% of DBS electrode lead dysfunction (out of 133 patients) in our series (slipped leads 2.3%, lead fracture 3.8%). Interestingly, all of these failures occurred in dystonia patients (18.4% of all dystonia patients and 9.2% of all electrodes). We postulate on mechanisms that may explain why these complications predominate in this group of patients.
spellingShingle Yianni, J
Nandi, D
Shad, A
Bain, P
Gregory, R
Aziz, T
Increased risk of lead fracture and migration in dystonia compared with other movement disorders following deep brain stimulation.
title Increased risk of lead fracture and migration in dystonia compared with other movement disorders following deep brain stimulation.
title_full Increased risk of lead fracture and migration in dystonia compared with other movement disorders following deep brain stimulation.
title_fullStr Increased risk of lead fracture and migration in dystonia compared with other movement disorders following deep brain stimulation.
title_full_unstemmed Increased risk of lead fracture and migration in dystonia compared with other movement disorders following deep brain stimulation.
title_short Increased risk of lead fracture and migration in dystonia compared with other movement disorders following deep brain stimulation.
title_sort increased risk of lead fracture and migration in dystonia compared with other movement disorders following deep brain stimulation
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AT shada increasedriskofleadfractureandmigrationindystoniacomparedwithothermovementdisordersfollowingdeepbrainstimulation
AT bainp increasedriskofleadfractureandmigrationindystoniacomparedwithothermovementdisordersfollowingdeepbrainstimulation
AT gregoryr increasedriskofleadfractureandmigrationindystoniacomparedwithothermovementdisordersfollowingdeepbrainstimulation
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