Neurol. praxi. 2008;9(4):258-260

Chirurgické komplikace systémů hluboké mozkové stimulace - příčiny a možnosti řešení

MUDr. Jan Chrastina Ph.D1, prof. MUDr. Zdeněk Novák CSc1, prof. MUDr. Ivan Rektor CSc2, MUDr. Marek Baláž3
1 Neurochirurgická klinika LF MU a FN Brno
2 I. neurologická klinika LF MU a FN u sv. Anny Brno
3 Centrum pro abnormální pohyby a parkinsonismus, I. neurologická klinika LF MU, FN u sv. Anny, Brno

S nárůstem počtu implantovaných systémů hluboké mozkové stimulace se objevují i sdělení, popisující komplikace s těmito systémy spojené. Z neurochirurgického hlediska zasluhují pozornost intrakraniální hemoragie, komplikace infekční a mechanické narušení systému. Sdělení popisuje dvě kazuistiky řešení lokálních komplikací systému DBS, jehož cílem je zachování integrity systému DBS. Vzhledem k nutnosti prolongovaných hospitalizací a nárůstu nákladů spojených s komplikacemi implantovaných systémů zdůrazňujeme nutnost celoživotního sledování u nemocných s implantáty, u nichž se očekává celoživotní funkčnost.

Keywords: Klíčová slova: DBS, Parkinsonova choroba, komplikace.

Published: November 1, 2008  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Chrastina J, Novák Z, Rektor I, Baláž M. Chirurgické komplikace systémů hluboké mozkové stimulace - příčiny a možnosti řešení. Neurol. praxi. 2008;9(4):258-260.
Download citation

References

  1. Benabid AL, Benazzouz A, Hoffman D, Limousin P, Krack P, Pollak P. Long - term electrical inhibition of deep brain targets in movement disorders. Mov Disord.1998; 13(Suppl. 3): 119-125. Go to original source... Go to PubMed...
  2. Benabid AL, Deuschl G, Lang AE, Lyons KE, Rezai AR Deep brain stimulation for Parkinson´s disease. Mov. Disord. 2006; 21(Suppl. 14): 168-170. Go to original source... Go to PubMed...
  3. Beric A, Kelly PJ, Rezai A, et al. Complications of deep brain stimulation surgery Stereotact Funct Neurosurg 2001; 77: 73-78. Go to original source... Go to PubMed...
  4. Blomstedt P, Hariz M. Hardware - related complications of deep brain stimulation: a ten years experience. Acta Neurochir (Wien) 2005; 147: 1061-1064. Go to original source... Go to PubMed...
  5. Constantoyannis C, Berk C, Honey CR, Mendez I, Brownstone RM. Reducing hardware - related complications of deep brain stimulation. Can J Neurol Sci 2005; 32: 194-200. Go to original source... Go to PubMed...
  6. Eskandar EN, Flaherty A, Cosgrove GR, Shinobu LA, Barker FG 2-nd. Surgery for Parkinson disease in the United States, 1996 to 2000: practice patterns, short-term outcomes, and hospital charges in a nationwide sample. J Neurosurg 2003; 99: 863-71. Go to original source... Go to PubMed...
  7. Hamel W, Schrader B, Weinert D, Herzog J, Muller D, Deuschl G, Volkmann J, Mehdorn HM. Technical complications in deep brain stimulation. Zentralblatt Neurochir 2002; 63: 124-127. Go to original source... Go to PubMed...
  8. Hariz MI. Complications of DBS stimulation surgery. MovDisord 2002; 17(Suppl. 3): 162-166. Go to original source... Go to PubMed...
  9. Chrastina J, Pulkrábek J, Rektor I, Novák Z. Stimulace nucleus subthalamicus u Parkinsonovy nemoci. Neurol. pro Praxi 2004; 2: 71-74.
  10. Kleiner-Fisman G, Herzog J, Fisman DN,Tamma F, Lyons KE, Pahwa R, Lang AE, Deuschl G. Subthalamic nucleus deep brain stimulation: summary and metaanalysis of outcomes. Mov Disord 2006; 21(Suppl. 14): 290-304. Go to original source... Go to PubMed...
  11. Kondziolka D, Whiting D, Germanwala A, Oh M. Hardware related complications after placement of thalamic deep brain stimulator system. Stereotactic Funct Neurosurg 2002; 79: 228-233. Go to original source... Go to PubMed...
  12. Lyons KE, Wilkinson SB, Overman J, Pahwa R. Surgical and hardware complications of subthalamic stimulation; a series of 160 procedures. Neurology 2004; 63: 612-616. Go to original source... Go to PubMed...
  13. Machado AG, Hiremath GK, Salazar F, Rezai AR. Fracture of subthalamic nucleus deep brain stimulation hardware as a result of compulsive manipulation: case report. Neurosurgery 2005; 57: 1318. Go to original source... Go to PubMed...
  14. Oh MY, Abosch A, Kim SH, Lang AE, Lozano AM. Long-term hardware - related complications of deep brain stimulation. Neurosurgery 2002; 50: 1268-1274. Go to original source...
  15. Růžička E, Urgošík D, Jech R, Serranová T, Volfová M, Roth J, Vymazal V, Mečíř P, Nováková L, Nováková O, Ulmanová O, Brožová H, Dušek P, Špačková N, Liščák R, Vladyka V. Hluboká mozková stimulace v léčbě Parkinsonovy nemoci a třesu: Pražská zkušenost 1998-2003. Čs Slov Neurol Neurochir 2004; 67: 423-436.
  16. Schwalb JM, Riina HA, Skolnick B, Jaggi JL, Simuni T, Baltuch GH. Revision of deep brain stimulator for tremor. Technical note. J Neurosurg 2001; 94: 1010-1012. Go to original source... Go to PubMed...
  17. Tir M, Devos D, Blond S, Touzet G, Reyns N, Duhamel A, Cottencin O, Dujardin K, Cassim F, Destee A, Defebvre L, Krystkowiak P. Exhaustive, one year follow up of subthalamic nucleus deep brain stimulation in a large, single - center cohort of Parkinsonian patients. Neurosurgery 2007; 61: 297-304. Go to original source... Go to PubMed...
  18. Umemura A, Jaggi JL, Hurtig HI, Siderowf AD, Colcher A, Stern MB, Baltuch GH. Deep brain stimulation in movement disorders: morbidity and mortality in 109 patients. J Neurosurg 2003; 98: 779-784. Go to original source... Go to PubMed...
  19. Voges J, Waerzeggers Y, Maarouf M, Lehrke R, Koulousakis A, Lenartz D, Sturm V. Deep brain stimulation: long term analysis of complications caused by hardware and surgery - experiences from a single centre. J Neurol Neurosurg Psychiatry 2006; 77: 868-872. Go to original source... Go to PubMed...




Neurology for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.