Identification and management of deep brain stimulation intra- and postoperative urgencies and emergencies.

Abstract

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.

• Authors: Takashi Morishita, Kelly D Foote, Adam P Burdick, Yoichi Katayama, Takamitsu Yamamoto, Steven J Frucht, Michael S Okun
• Journal: Parkinsonism & related disorders (Parkinsonism Relat Disord) Vol. 16 Issue 3 Pg. 153-62 (Mar 2010) ISSN: 1873-5126 [Electronic] England
• PMID: 19896407 (Publication Type: Case Reports, Journal Article, Review)
• Copyright: Copyright (c) 2009 Elsevier Ltd. All rights reserved.

Topics

• Adult
• Aged
• Child
• Cognition Disorders (etiology)
• Electric Stimulation Therapy (adverse effects, instrumentation, methods)
• Emergency Medical Services
• Female
• Humans
• Male
• Middle Aged
• Movement Disorders (therapy)
• Postoperative Complications (physiopathology, therapy)
• PubMed (statistics & numerical data)