Deep Brain Stimulation Hardware Infections: A Case Series
DOI:
https://doi.org/10.3889/oamjms.2020.5530Keywords:
dbs, infections, device, surgery, stnAbstract
BACKGROUND: The device-related infections and erosion of the surgical wound site are special circumstances among complications of deep brain stimulation (DBS).
AIM: We aimed to discuss different aspects of hardware infections and contribute to the literature by presenting our treatment methods on four patients.
MATERIAL AND METHODS: This study was carried out in the Department of Neurosurgery, School of Medicine Hospital, Dokuz Eylul University. Four DBS cases were included in the study, and a retrospective study was performed.
RESULTS: Electrode placement to bilateral subthalamic nuclei was performed due to Parkinson’s Disease to all four patients. One of the patients was undergone surgical wound site revision 6 times and device removal at last due to device-related infection and erosion of the surgical wound site. The second patient was undergone surgical wound site revision for 2 times and device removal at last due to device-related infection and erosion of the surgical wound site. The third patient had a collection subcutaneously, where the pulse generator was placed. The collection was aspirated. The fourth patient was undergone surgical wound site revision and device removal at last due to device-related infection and erosion of the surgical wound site. All four patients were given IV antibiotics.
CONCLUSION: For the treatment of DBS device-related infections, a long-term IV antibiotherapy is a suitable option before the decision of device removal.
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Copyright (c) 2020 Hulagu Kaptan, Furkan Yuzbasi, Fatih Özturk, Haluk Vayvada (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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