Skin-related complications following deep brain stimulation surgery: A single-center retrospective analysis of 525 patients who underwent DBS surgery

Stapińska-Syniec, Angelika; Sobstyl, Michał; Paskal, Wiktor

doi:10.1016/j.clineuro.2022.107571

Cited by 4 publications

(1 citation statement)

References 35 publications

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“…Despite two patients out of 60 required a second surgery to solve infective and erosive disorders, complication rate is in line with the literature data of DBS [40]. Self-aggressive behavior has been reported in our review, but this pathologic attitude does not seem to have determined an increase of hardware-related complications, which is typical of other conditions [41].…”

Section: Safety Summarysupporting

confidence: 89%

Posterior Hypothalamic Region Deep Brain Stimulation for the Treatment of Aggression Disorders in Patients with Intellectual Disability: A Systematic Review

Cojazzi,

Innocenti,

Castelli

et al. 2024

Stereotact Funct Neurosurg

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Introduction: Aggressive disorders, in patients with intellectual disability, are satisfactorily managed with an educational, psychological, and pharmacological approach. Posterior hypothalamic region deep brain stimulation emerged in the last two decades as a promising treatment for patients with severe aggressive disorders. However, limited experiences are reported in the literature. Methods: A systematic review was performed following PRISMA guidelines and recommendations by querying PubMed and Embase on August 24th, 2022, with the ensuing string parameters: ([deep brain stimulation] OR [DBS]) AND ([aggressiv*] OR disruptive). Cochrane Library, DynaMed, and ClinicalTrials.gov were consulted using the combination of keywords “deep brain stimulation” and “aggressive” or “aggression”. The clinical outcome at the last follow-up and the rate of complications were considered primary and secondary outcomes of interest. Results: The initial search identified 1,080 records, but only 10 studies met the inclusion criteria and were considered. The analysis of clinical outcome and complications was therefore performed on a total of 60 patients. Quality of all selected studies was classified as high, but one. Mean Overt Aggression Scale (OAS) improvement was 68%, while Inventory for Client Agency Planning (ICAP) improvement ranged between 38.3% and 80%. Complications occurred in 4 patients (6.7%). Conclusion: Posterior hypothalamic region deep brain stimulation may be considered a valuable option for patients with severe aggression disorders and ID. This review can represent a mainstay for those who will be engaged in the surgical treatment of these patients.

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Section: Safety Summarysupporting

confidence: 89%