Revision Surgery of Deep Brain Stimulation Leads

Neuromodulation : Journal of the International Neuromodulation Society
Steven M Falowski, Roy A E Bakay

Abstract

Deep brain stimulation (DBS) is widely used for various movement disorders. DBS lead revisions are becoming more common as the indications and number of cases increases. Patients undergoing DBS lead revisions at a single institution were retrospectively analyzed based on diagnosis, reason for revision, where the lead was relocated, and surgical technique. We reviewed 497 consecutive DBS lead placements and found that there was need for 25 DBS lead revisions with at least six months of follow-up. Loss of efficacy and development of adverse effects over time were the most common reasons for lead revision across all diagnosis. Lead malfunction was the least common. Ten patients requiring 19 DBS lead revisions that underwent their original surgery at another institution were also analyzed. Surgical technique dictated replacing with a new lead while maintaining brain position and tract with the old lead until final placement. Methods to seal exposed wire were developed. Surgical technique, as well as variable options are important in lead revision and can be dictated based on reason for revision. Over time patients who have had adequate relief with DBS placement may experience loss of efficacy and development of adverse effects requ...Continue Reading

References

Jul 1, 1990·Trends in Neurosciences·M R DeLong
Feb 17, 2000·The New England Journal of Medicine·P R SchuurmanJ D Speelman
Sep 29, 2001·The New England Journal of Medicine·UNKNOWN Deep-Brain Stimulation for Parkinson's Disease Study GroupA E Lang
Apr 12, 2002·Movement Disorders : Official Journal of the Movement Disorder Society·Pierre PollakAlim-Louis Benabid
Apr 12, 2002·Movement Disorders : Official Journal of the Movement Disorder Society·Marwan I Hariz
May 23, 2002·Neurosurgery·Michael Y OhAndres M Lozano
Oct 16, 2002·Stereotactic and Functional Neurosurgery·A BericB Kopell
Nov 29, 2002·Zentralblatt für Neurochirurgie·W HamelH M Mehdorn
Mar 26, 2003·Stereotactic and Functional Neurosurgery·Jerrold L Vitek
Jul 1, 2006·Movement Disorders : Official Journal of the Movement Disorder Society·Robert E GrossAlim-Louis Benabid
Nov 27, 2007·Journal of Neurology, Neurosurgery, and Psychiatry·P PlahaS S Gill
Apr 9, 2008·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Kelly E Lyons, Rajesh Pahwa
Jun 17, 2008·Stereotactic and Functional Neurosurgery·Göran LindBengt Linderoth
Nov 5, 2008·Neurosurgery·Tina-Marie EllisMichael S Okun
Dec 17, 2008·Lancet Neurology·Alim Louis BenabidPierre Pollak
Jan 8, 2009·JAMA : the Journal of the American Medical Association·Frances M WeaverUNKNOWN CSP 468 Study Group
Jul 31, 2009·Stereotactic and Functional Neurosurgery·R Mark RichardsonPhilip A Starr
Sep 16, 2009·Stereotactic and Functional Neurosurgery·Peter M Miller, Robert E Gross
Nov 7, 2009·Asian Journal of Surgery·Danny T M ChanWai S Poon
Mar 4, 2010·Stereotactic and Functional Neurosurgery·Takashi MorishitaMichael S Okun
Jul 16, 2010·Movement Disorders : Official Journal of the Movement Disorder Society·Alberto J EspayMark H Eckman
Dec 25, 2010·Therapeutic Advances in Neurological Disorders·S J GroissA Schnitzler
Mar 10, 2011·Expert Review of Neurotherapeutics·Michael S Okun, Kelly D Foote
Apr 13, 2011·Parkinsonism & Related Disorders·Genko OyamaMichael S Okun
May 21, 2011·Journal of Neural Transmission·Angelo FranziniGiovanni Broggi

❮ Previous
Next ❯

Citations

Jun 23, 2018·Journal of Neurosurgery·Leonardo A FrizonAndre G Machado
Feb 12, 2020·Neuromodulation : Journal of the International Neuromodulation Society·Sarasa TohyamaMojgan Hodaie
May 18, 2021·International Journal of Surgery Case Reports·Andrius RadziunasSteven Falowski
May 25, 2021·Advanced Science·Eve McGlynnHadi Heidari

❮ 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.

Related Papers

Journal of Neurosurgery. Pediatrics
Ellen L AirPhilip A Starr
Conference Proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Zelma H T Kiss
© 2022 Meta ULC. All rights reserved