Perioperative Technical Complications in Deep Brain Stimulation Surgeries.

Area of Science:

• Neurosurgery
• Medical Technology
• Surgical Complications

Background:

• Deep brain stimulation (DBS) surgery involves intricate, interconnected steps.
• Surgical techniques for DBS have evolved since its inception.
• Perioperative technical complications are an inherent aspect of DBS procedures.

Purpose of the Study:

• To describe stereotactic frame, localizer, and planning station related complications in DBS surgery.
• To detail the management strategies employed for these technical challenges.
• To contribute to the understanding and mitigation of perioperative technical events in DBS.

Main Methods:

• Retrospective qualitative analysis of documented technical events.
• Inclusion of data from approximately 921 deep brain stimulation electrode implantations.
• Data collection spanning from 1999 to the present.

Main Results:

• Stereotactic frame complications: fixation issues, anatomical challenges, and maintenance problems.
• Localizer complications: compatibility, field of view effects, air bubbles, and disengagement.
• Planning station complications: image fusion failures and cerebrospinal fluid signal interference.

Conclusions:

• Successfully managing surgical and technical complications is vital for effective DBS therapy.
• Proactive identification and preparation for potential issues are key to successful DBS procedures.
• Continuous learning from surgical events drives advancements in DBS techniques.