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组织扩张术治疗帕金森病患者具有挑战性的脑深部电刺激硬件侵蚀问题。

Tissue expansion for challenging DBS hardware erosions in patients with Parkinson's disease.

作者信息

Thakur Nikhil, Eibach Michael, Ghanaati Shahram, Weise Lutz, Seifert Volker, Marquardt Gerhard, Quick-Weller Johanna

机构信息

Department of Neurosurgery, Johann Wolfgang Goethe University Hospital, Frankfurt, Germany.

Department of Oral- Cranio- Maxillofacial and Facial Plastic Surgery, Johann Wolfgang Goethe University Hospital, Frankfurt, Germany.

出版信息

Brain Spine. 2022 Sep 16;2:101188. doi: 10.1016/j.bas.2022.101188. eCollection 2022.

Abstract

•Consider tissue expanders for challenging DBS cases in PD patients with hardware erosion.•Placement of tissue expander is essential in planning the reconstruction.•MRI-compatibility of the tissue expander is paramount for shortening the total duration of anesthesia.•Role of routine skin biopsies to identify PD patients at additional risk for developing scalp defects should be investigated.

摘要

•对于帕金森病患者出现硬件侵蚀的具有挑战性的脑深部电刺激(DBS)病例,考虑使用组织扩张器。

•组织扩张器的放置对于规划重建至关重要。

•组织扩张器的磁共振成像(MRI)兼容性对于缩短麻醉总时长至关重要。

•应研究常规皮肤活检在识别有发生头皮缺损额外风险的帕金森病患者中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7265/9562251/75578d1496e1/gr1.jpg

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