Management of skin erosion following deep brain stimulation.
Skin erosion is a hardware-related complication commonly described after deep brain stimulation (DBS). Despite the considerable incidence reported in literature, little is written about the management of this complication. In this report, we describe a case of noninfected device extrusion through the skin; in order to prevent infection and system removal, we performed a scalp reconstruction over the area of system exposure. During the follow-up, no signs of infection or fistula occurred and DBS efficacy was preserved. The paper shows the possibility to treat, in noninfectious cases, this frequent complication avoiding the psychological and clinical consequences related to implant removal.
Lanotte
Michele
M
Department of Neuroscience, University of Torino, Turin, Italy. michele.lanotte@unito.it
Verna
Giovanni
G
Panciani
Pier Paolo
PP
Taveggia
Antonio
A
Zibetti
Maurizio
M
Lopiano
Leonardo
L
Ducati
Alessandro
A
D046690:Deep Brain Stimulation / Q000009:adverse effects*; D004567:Electrodes, Implanted / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010300:Parkinson Disease / Q000628:therapy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D012535:Scalp / Q000000981:diagnostic imaging / Q000293:injuries*; D012867:Skin / Q000000981:diagnostic imaging / Q000293:injuries*; D016038:Skin Transplantation; D014463:Ultrasonography
Acta Neurochir (Wien). 2004 Apr;146(4):355-61; discussion 361
15057529
Am J Med. 1981 Dec;71(6):1068-70
7315852
Cancer Drug Deliv. 1987;4(2):105-17
3480777
Lancet Infect Dis. 2002 Nov;2(11):677-85
12409048
Mov Disord. 2002;17 Suppl 3:S175-80
11948774
Surg Radiol Anat. 2006 Jun;28(3):248-53
16568216
Microsurgery. 2007;27(5):411-4
17603811
J Infect. 2003 Apr;46(3):196-8
12643873
Pediatr Infect Dis J. 1987 Feb;6(2):182-9
3562137
Plast Reconstr Surg. 2005 Sep 15;116(4):54e-72e
16163072
Br J Neurosurg. 2006 Oct;20(5):290-5
17129876
Acta Neurochir (Wien). 2005 Oct;147(10):1061-4; discussion 1064
16041470
J Neurosurg. 1992 Dec;77(6):875-80
1432129
N Engl J Med. 2000 Feb 17;342(7):461-8
10675426
J Plast Reconstr Aesthet Surg. 2007;60(6):593-606
17485046
Neurology. 1985 Sep;35(9):1274-8
3839573
Oncology (Williston Park). 1989 Dec;3(12):15-22; discussion 23
2701407
Neurosurgery. 1988 Jan;22(1 Pt 1):97-100
2449629
Stereotact Funct Neurosurg. 2006;84(5-6):248-51
17063047
Neurosurgery. 2002 Jun;50(6):1268-74; discussion 1274-6
12015845
South Med J. 2006 Oct;99(10):1127-9
17100035
Arch Intern Med. 1990 Jan;150(1):173-6
2404479