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Single-Stage Deep Brain Stimulator Placement for Movement Disorders: A Case Series
Arrin Brooks1, Alastair T Hoyt2
1Department of Biomedical Research, Marshall University, Joan C Edwards School of Medicine, Huntington, WV 25701, USA.
Brain Sciences
|June 2, 2021
Summary
Single-surgery deep brain stimulation (DBS) for movement disorders is effective and safe. This approach simplifies patient care by avoiding multiple operations for DBS system implantation.
Area of Science:
- Neurosurgery
- Neurology
Background:
- Deep brain stimulation (DBS) is a common treatment for movement disorders.
- Most US patients undergo staged surgeries for DBS system implantation, despite evidence of similar outcomes with single-stage procedures.
Purpose of the Study:
- To evaluate the efficacy and safety of single-stage DBS implantation.
- To determine if a complete DBS system can be safely implanted in one procedure.
Main Methods:
- Retrospective review of patients who received new DBS systems from January 2016 to June 2019.
- Exclusion of revision surgeries.
- Evaluation of operative time, length of stay, and complication rates (infections, lead issues).
Main Results:
- Single-stage DBS implantation was performed routinely at the institution.
- Data suggests this approach is well-tolerated.
- No significant increase in complications was observed compared to staged procedures.
Conclusions:
- Single-stage DBS implantation is an efficacious and safe option for patients with movement disorders.
- This approach simplifies patient care by eliminating the need for multiple surgeries.
- Further evidence supports the routine use of single-stage DBS implantation.
