Deep brain stimulation hardware complications: the role of electrode impedance and current measurements

Movement Disorders : Official Journal of the Movement Disorder Society
Sierra FarrisMonique L Giroux

Abstract

Deep brain stimulation (DBS) is an effective therapy for advanced Parkinson's disease patients. Successful DBS outcomes depend on appropriate patient selection, surgical placement of the lead, intact hardware systems, optimal programming, and medical management. Despite its importance, there is little guidance in reference to hardware monitoring, hardware troubleshooting, and patient management. Technical manuals produced by the hardware manufacturer (Medtronic, Minneapolis, MN) are not presented in an applied clinical format, making impedance and current measurements difficult to interpret when the results are not straightforward. We present four patients with evolving DBS hardware complications that occurred during long-term follow-up, that shaped our clinical protocol for long-term care management and hardware troubleshooting.

References

Sep 29, 2001·The New England Journal of Medicine·UNKNOWN Deep-Brain Stimulation for Parkinson's Disease Study GroupA E Lang
Aug 2, 2003·Stereotactic and Functional Neurosurgery·Douglas KondziolkaMichael Oh
Nov 14, 2003·The New England Journal of Medicine·Paul KrackPierre Pollak
Feb 21, 2004·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·J YianniTipu Aziz
Dec 8, 2004·Movement Disorders : Official Journal of the Movement Disorder Society·François Alesch
Jun 25, 2005·Brain : a Journal of Neurology·M C Rodriguez-OrozN Van Blercom
Jul 19, 2005·Clinical Neurology and Neurosurgery·Robert E WharenRyan J Uitti
Jul 26, 2005·Acta neurochirurgica·P Blomstedt, M I Hariz
Nov 12, 2005·Movement Disorders : Official Journal of the Movement Disorder Society·Karen Østergaard, Niels Aa Sunde
Nov 18, 2005·Journal of Neurology, Neurosurgery, and Psychiatry·W M M SchüpbachY Agid
Dec 31, 2005·Journal of Neurosurgery·Frances WeaverMatthew Stern
Oct 26, 2006·Stereotactic and Functional Neurosurgery·Clement Hamani, Andres M Lozano
Apr 17, 2007·Journal of Neurosurgery·Christopher KenneyJoseph Jankovic
Oct 24, 2007·Annals of Surgical Oncology·Alex SenchenkovFranklin H Sim

❮ Previous
Next ❯

Citations

Mar 11, 2011·JAAPA : Official Journal of the American Academy of Physician Assistants·Sierra Farris, Monique Giroux
Jan 1, 2010·Neuromodulation : Journal of the International Neuromodulation Society·Sierra Farris, Monique Lillian Giroux
Jul 1, 2010·Neuromodulation : Journal of the International Neuromodulation Society·Karl A SillayErwin B Montgomery
Sep 11, 2012·Journal of Neurosurgery·Kazuhiro SamuraKazufumi Kamikaseda
Oct 27, 2010·Parkinson's Disease·Fernando Seijo FernándezBeatriz Lozano Aragoneses
May 10, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Arnar AstradssonTipu Z Aziz
Aug 26, 2009·Movement Disorders : Official Journal of the Movement Disorder Society·Tobias WächterAlireza Gharabaghi
Jun 30, 2011·Movement Disorders : Official Journal of the Movement Disorder Society·José Fidel Baizabal CarvalloJoseph Jankovic
May 13, 2010·Movement Disorders : Official Journal of the Movement Disorder Society·Hu Liang Low
Sep 25, 2014·Neuromodulation : Journal of the International Neuromodulation Society·Changqing JiangLuming Li
Jul 17, 2010·Brain Stimulation·Daniel Ciampi de AndradeStéphane Palfi
Jul 17, 2012·Stereotactic and Functional Neurosurgery·José Fidel Baizabal CarvalloJoseph Jankovic
Mar 13, 2019·Operative Neurosurgery·Mark K LyonsNaresh P Patel
Aug 14, 2019·Journal of Palliative Medicine·Lauren R SankaryDavid J Harris
Feb 6, 2021·Journal of the Mechanical Behavior of Biomedical Materials·Linze LiLuming Li
Oct 3, 2020·Brain Stimulation·Philippe De VlooBart Nuttin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain-Computer Interface

A brain-computer interface, also known as a brain-machine interface, is a bi-directional communication pathway between an external device and a wired brain. Here is the latest research on this topic.