International Research Institute of Postgraduate Education and Shashkin Clinic, Almaty, Kazakhstan.
Acta Neurochir Suppl. 2023;130:121-126. doi: 10.1007/978-3-030-12887-6_15.
The contemporary technique of deep brain stimulation (DBS) is very effective for management of movement disorders-including Parkinson's disease, generalized dystonia, and tremors-and has also been successfully applied for novel indications (e.g., intractable epilepsy and chronic pain). As a result, growing numbers of DBS procedures have been performed worldwide; correspondingly, the incidence of associated morbidity has also increased. All complications of DBS can be divided into those associated with (1) the surgical procedure, (2) the device itself, and (3) the applied electrical stimulation. On the basis of an analysis of the available literature and the personal experience of the author, it may be concluded that implantation of a DBS device is a relatively safe procedure accompanied by very low risks of major morbidity or a permanent neurological deficit. Nevertheless, awareness of the possible complications and application of appropriate preventive measures for their avoidance are very important for providing safe and effective treatment.
目前，深部脑刺激（DBS）技术在运动障碍的治疗方面非常有效，包括帕金森病、全身性肌张力障碍和震颤，也已成功应用于新的适应症（如难治性癫痫和慢性疼痛）。因此，全球进行的 DBS 手术数量不断增加，相应地，相关发病率也有所增加。DBS 的所有并发症都可以分为与（1）手术过程、（2）设备本身和（3）应用的电刺激相关的并发症。根据对现有文献的分析和作者的个人经验，我们可以得出结论，DBS 设备的植入是一种相对安全的手术，其主要发病率或永久性神经功能缺损的风险非常低。然而，了解可能出现的并发症并采取适当的预防措施来避免这些并发症是非常重要的，这对于提供安全有效的治疗非常重要。
