Acta Neurochirurgica

, Volume 153, Issue 12, pp 2337–2341

Hardware-related infections after deep brain stimulation surgery: review of incidence, severity and management in 212 single-center procedures in the first year after implantation

  • Massimo Piacentino
  • Manuela Pilleri
  • Luigi Bartolomei
Clinical Article

DOI: 10.1007/s00701-011-1130-2

Cite this article as:
Piacentino, M., Pilleri, M. & Bartolomei, L. Acta Neurochir (2011) 153: 2337. doi:10.1007/s00701-011-1130-2

Abstract

Background

Device-related infection is a common occurrence after deep brain stimulation (DBS) surgery, and may result in additional interventions and a loss of efficacy of therapy. This retrospective review aimed to evaluate the incidence, severity and management of device-related infections in 212 DBS procedures performed in our institute.

Methods

Data on 106 patients, in whom 212 DBS procedures were performed between 2001 and 2011 at our institute by a single neurosurgeon (M.P.), were reviewed to assess the incidence, severity, management and clinical characteristics of infections in the first year after the implantation of a DBS system.

Results

Infections occurred in 8.5% of patients and 4.2% of procedures. Of the nine infections, eight involved the neurostimulator and extensions, and one the whole system. The infections occurred 30.7 days after implantation: 7 within 30 days and 2 within 6 months. Infected and uninfected patients were comparable in terms of age, sex, indication for DBS implantation and neurostimulator location. In eight cases, the system components involved were removed and re-implanted after 3 months, while in one case the complete hardware was removed and not re-implanted.

Conclusion

The overall incidence of postoperative infections after DBS system implantation was 4.2%; this rate decreased over time. All infections required further surgery. Correct and timely management of partial infections may result in successful salvage of part of the system.

Keywords

Deep brain stimulationHardware complicationsDevice-related infectionsSurgical complicationsDeep brain stimulation complications

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Massimo Piacentino
    • 1
    • 4
  • Manuela Pilleri
    • 2
  • Luigi Bartolomei
    • 3
  1. 1.Department of NeurosurgerySan Bortolo HospitalVicenzaItaly
  2. 2.Casa di Cura Villa MargheritaArcugnanoItaly
  3. 3.Department of NeuroscienceSan Bortolo HospitalVicenzaItaly
  4. 4.Dipartimento di Neuroscienze-NeurochirurgiaOspedale San BortoloVicenzaItaly