Lanotte Michele, Verna Giovanni, Panciani Pier Paolo, Taveggia Antonio, Zibetti Maurizio, Lopiano Leonardo, Ducati Alessandro
Department of Neuroscience, University of Torino, Turin, Italy.
Neurosurg Rev. 2009 Jan;32(1):111-4; discussion 114-5. doi: 10.1007/s10143-008-0158-0. Epub 2008 Sep 5.
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.
皮肤糜烂是深部脑刺激（DBS）术后常见的与硬件相关的并发症。尽管文献报道的发生率相当高，但关于该并发症的处理却鲜有论述。在本报告中，我们描述了一例非感染性的装置经皮肤挤出的病例；为防止感染和移除系统，我们对系统暴露区域进行了头皮重建。在随访期间，未出现感染或瘘管迹象，且保留了DBS疗效。本文表明，在非感染性病例中，有可能治疗这种常见并发症，避免与植入物移除相关的心理和临床后果。
