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为了防止因刺激器旋转导致延长线断裂,在上背部放置深部脑刺激内部脉冲发生器:病例报告。

Placement of the Internal Pulse Generator for Deep Brain Stimulation in the Upper Back to Prevent Fracture of the Extension Wire due to Generator Rotation: Case Report.

机构信息

Department of Neurosurgery, New York Medical College, Valhalla, NY 10595, USA.

出版信息

Parkinsons Dis. 2010 Feb 8;2010:189371. doi: 10.4061/2010/189371.

DOI:10.4061/2010/189371
PMID:20948892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2951139/
Abstract

Deep brain stimulation (DBS) is a common surgical procedure used for the treatment of Parkinson's disease (PD) and essential tremor. A potential complication of this procedure is hardware failure. The authors report a case of DBS hardware failure in which repeated fractures of the extension wire were caused by abnormal rotational movements of the IPG placed in the loose subclavicular tissue of an overweight female. Implantation of the IPG in the suprascapular area prevented further extension wire fractures. This strategy may be especially relevant in overweight females with loose subclavicular tissue.

摘要

脑深部电刺激术(DBS)是一种常用于治疗帕金森病(PD)和原发性震颤的常见手术。该手术的一个潜在并发症是硬件故障。作者报告了一例 DBS 硬件故障,原因是超重女性锁骨下疏松组织中植入的 IPG 发生异常旋转运动,导致延长线反复断裂。将 IPG 植入肩胛上区可防止进一步的延长线断裂。对于锁骨下组织疏松的超重女性,这种策略可能尤为相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04a0/2951139/9d14978ba570/PD2010-189371.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04a0/2951139/442de5344513/PD2010-189371.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04a0/2951139/8834fa96b6f3/PD2010-189371.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04a0/2951139/13c8464a48b3/PD2010-189371.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04a0/2951139/459fd644ec16/PD2010-189371.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04a0/2951139/d923d7eb2925/PD2010-189371.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04a0/2951139/9d14978ba570/PD2010-189371.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04a0/2951139/442de5344513/PD2010-189371.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04a0/2951139/8834fa96b6f3/PD2010-189371.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04a0/2951139/13c8464a48b3/PD2010-189371.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04a0/2951139/459fd644ec16/PD2010-189371.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04a0/2951139/d923d7eb2925/PD2010-189371.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04a0/2951139/9d14978ba570/PD2010-189371.006.jpg

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本文引用的文献

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Neurosurgery. 2005 Dec;57(6):E1318; discussion E1318. doi: 10.1227/01.neu.0000187566.01731.51.
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Management of referred deep brain stimulation failures: a retrospective analysis from 2 movement disorders centers.深部脑刺激术间接性失效的管理:来自两个运动障碍中心的回顾性分析
Arch Neurol. 2005 Aug;62(8):1250-5. doi: 10.1001/archneur.62.8.noc40425. Epub 2005 Jun 13.
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Implantation of bilateral deep brain stimulators in patients with Parkinson disease and preexisting cardiac pacemakers. Report of two cases.
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A Materials Roadmap to Functional Neural Interface Design.功能性神经接口设计的材料路线图。
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Unilateral battery depletion in Parkinson's disease patients treated with bilateral subthalamic nucleus deep brain stimulation may require urgent surgical replacement.接受双侧丘脑底核深部脑刺激治疗的帕金森病患者出现单侧电池耗尽可能需要紧急手术更换。
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