Dual floor burr hole technique in deep brain stimulation: A retrospective study on 209 patients

BACKGROUND: Skin erosion/infections due to deep brain stimulation hardware are highly worrisome complications. They can lead to the removal of the entire deep brain stimulation device, and consequently hold the whole treatment in otherwise pharmacologically refractory patients. Several techniques ha...

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Autores principales: Servello, Domenico, Saleh, Christian, Bona, Alberto R., Minichiello, Marina, Zekaj, Edvin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Stereotactic: Technical Note
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5705926/
https://www.ncbi.nlm.nih.gov/pubmed/29279797
http://dx.doi.org/10.4103/sni.sni_144_17
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author Servello, Domenico
Saleh, Christian
Bona, Alberto R.
Minichiello, Marina
Zekaj, Edvin
author_facet Servello, Domenico
Saleh, Christian
Bona, Alberto R.
Minichiello, Marina
Zekaj, Edvin
author_sort Servello, Domenico
collection PubMed
description BACKGROUND: Skin erosion/infections due to deep brain stimulation hardware are highly worrisome complications. They can lead to the removal of the entire deep brain stimulation device, and consequently hold the whole treatment in otherwise pharmacologically refractory patients. Several techniques have been used such as C-shape skin incision and dual floor burr hole or single passage of connecting cables to reduce the incidence of skin complications. METHODS: In this paper, we describe our experience in 209 patients using a dual-floor burr hole technique to reduce skin adverse effects. CONCLUSION: The dual floor burr hole technique is a safe technique with a low incidence of skin erosions and complications.
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spelling pubmed-57059262017-12-26 Dual floor burr hole technique in deep brain stimulation: A retrospective study on 209 patients Servello, Domenico Saleh, Christian Bona, Alberto R. Minichiello, Marina Zekaj, Edvin Surg Neurol Int Stereotactic: Technical Note BACKGROUND: Skin erosion/infections due to deep brain stimulation hardware are highly worrisome complications. They can lead to the removal of the entire deep brain stimulation device, and consequently hold the whole treatment in otherwise pharmacologically refractory patients. Several techniques have been used such as C-shape skin incision and dual floor burr hole or single passage of connecting cables to reduce the incidence of skin complications. METHODS: In this paper, we describe our experience in 209 patients using a dual-floor burr hole technique to reduce skin adverse effects. CONCLUSION: The dual floor burr hole technique is a safe technique with a low incidence of skin erosions and complications. Medknow Publications & Media Pvt Ltd 2017-11-20 /pmc/articles/PMC5705926/ /pubmed/29279797 http://dx.doi.org/10.4103/sni.sni_144_17 Text en Copyright: © 2017 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Stereotactic: Technical Note
Servello, Domenico
Saleh, Christian
Bona, Alberto R.
Minichiello, Marina
Zekaj, Edvin
Dual floor burr hole technique in deep brain stimulation: A retrospective study on 209 patients
title Dual floor burr hole technique in deep brain stimulation: A retrospective study on 209 patients
title_full Dual floor burr hole technique in deep brain stimulation: A retrospective study on 209 patients
title_fullStr Dual floor burr hole technique in deep brain stimulation: A retrospective study on 209 patients
title_full_unstemmed Dual floor burr hole technique in deep brain stimulation: A retrospective study on 209 patients
title_short Dual floor burr hole technique in deep brain stimulation: A retrospective study on 209 patients
title_sort dual floor burr hole technique in deep brain stimulation: a retrospective study on 209 patients
topic Stereotactic: Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5705926/
https://www.ncbi.nlm.nih.gov/pubmed/29279797
http://dx.doi.org/10.4103/sni.sni_144_17
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