Identification and management of deep brain stimulation intra- and postoperative urgencies and emergencies.
Deep brain stimulation (DBS) has been increasingly utilized for the therapeutic treatment of movement disorders, and with the advent of this therapy more postoperative urgencies and emergencies have emerged. In this paper, we will review, identify, and suggest management strategies for both intra- and postoperative urgencies and emergencies. We have separated the scenarios into 1--surgery/procedure related, 2--hardware related, 3--stimulation-induced difficulties, and 4--others. We have included ten illustrative (and actual) case vignettes to augment the discussion of each issue.
Morishita
Takashi
T
Department of Neurology, University of Florida College of Medicine/Shands Hospital, Movement Disorders Center, McKnight Brain Institute, Gainesville, FL 32610, USA.
Foote
Kelly D
KD
Burdick
Adam P
AP
Katayama
Yoichi
Y
Yamamoto
Takamitsu
T
Frucht
Steven J
SJ
Okun
Michael S
MS
D000328:Adult; D000368:Aged; D002648:Child; D003072:Cognition Disorders / Q000209:etiology; D004599:Electric Stimulation Therapy / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009069:Movement Disorders / Q000628:therapy*; D011183:Postoperative Complications / Q000503:physiopathology / Q000628:therapy*; D039781:PubMed / Q000706:statistics & numerical data