☆ 4.1 Review

Intracranial Bleeding in Deep Brain Stimulation Surgery: A Systematic Review and Meta-Analysis

STEREOTACTIC AND FUNCTIONAL NEUROSURGERY (2023)

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The risk factors of intracerebral hemorrhage in deep brain stimulation: does target matter?

Hong Kyung Shin et al.

Summary: This study retrospectively investigated the incidence of intracerebral hemorrhage (ICH) during deep brain stimulation (DBS) and identified the risk factors associated with ICH. The results showed that systolic blood pressure (BP) during surgery was a risk factor for all cases of ICH, while the target location and systolic BP during surgery were specifically associated with ICH causing permanent neurological deficit.

ACTA NEUROCHIRURGICA (2022)

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Summary: This study aimed to analyze various complications that occur after deep brain stimulation. Medical records of patients with a movement disorder who underwent bilateral deep brain stimulation between 2000 and 2020 were reviewed, and those requiring revision surgery were analyzed.

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Past, Present, and Future of Deep Brain Stimulation: Hardware, Software, Imaging, Physiology and Novel Approaches

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Summary: Deep brain stimulation (DBS) has advanced treatment options for various neurological and neuropsychiatric conditions. With continuous progress in technology, including hardware, targeting, and software improvements, DBS shows promising prospects in improving treatment efficacy and quality of life.

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Summary: This article provides a comprehensive review of the current scientific evidence on the use of invasive neurostimulation for the treatment of deficits associated with traumatic brain injury (TBI). The study highlights the promising potential of neurostimulation in improving cognitive and motor functions, relieving symptoms and supporting emotional adjustment in TBI patients. However, the current literature is limited and further research is needed to identify optimal stimulation targets and paradigms, as well as to explore the impact of biological variables on treatment outcomes.

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Surgical and Hardware Complications of Deep Brain Stimulation-A Single Surgeon Experience of 519 Cases Over 20 Years

Paresh K. Doshi et al.

Summary: This study analyzed the risk factors for complications in deep brain stimulation (DBS) surgery and found that the complication rate decreases with cumulative years of experience, demonstrating a learning curve effect.

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O-Arm Stereotactic Imaging in Deep Brain Stimulation Surgery Workflow: A Utility and Cost-Effectiveness Analysis

Luciano Furlanetti et al.

Summary: The use of the Medtronic O-arm device in DBS surgery significantly reduced the duration of image acquisition, exposure to ionizing radiation, and costs when compared with standard stereotactic MRI or CT, without compromising accuracy.

STEREOTACTIC AND FUNCTIONAL NEUROSURGERY (2021)

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Deep brain stimulation for multiple sclerosis tremor: A systematic review and meta-analysis

Alireza Zali et al.

Summary: This systematic review and meta-analysis demonstrated that deep brain stimulation (DBS) is effective in improving tremor in patients with multiple sclerosis, with a significant improvement rate and stable efficacy, indicating that it is both safe and effective.

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The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

Matthew J. Page et al.

Summary: The PRISMA statement was designed to help systematic reviewers transparently report the purpose, methods, and findings of their reviews. The updated PRISMA 2020 statement includes new reporting guidance, a 27-item checklist, an abstract checklist, and revised flow diagrams for reviews.

BMJ-BRITISH MEDICAL JOURNAL (2021)

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Deep brain stimulation in patients on chronic antiplatelet or anticoagulation treatment

Joachim Runge et al.

Summary: Deep brain stimulation surgery in patients on chronic antiplatelet or anticoagulation treatment is feasible with no increased risk of hemorrhage in the first year of follow-up. Appropriate patient selection and standardized perioperative management are necessary to reduce the risk of intracranial hemorrhage and thromboembolic complications.

ACTA NEUROCHIRURGICA (2021)

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Estimating the Risk of Deep Brain Stimulation in the Modern Era: 2008 to 2020

Eun Jeong Koh et al.

Summary: This study found an overall complication rate of 16.7% per patient, showing a decrease in surgical complications since the early years of DBS. Improvement in hardware, software, and imaging technologies has contributed to this trend.

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Estimating the Risk of Deep Brain Stimulation in the Modern Era: 2008 to 2020

Eun Jeong Koh et al.

Summary: The study found that the overall complication rate of deep brain stimulation surgery has decreased over time and a systemic approach to minimizing complications should be emphasized.

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Safety of Noncontrast Imaging-Guided Deep Brain Stimulation Electrode Placement in Parkinson Disease

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Intracranial hemorrhage risk factors of deep brain stimulation for Parkinson's disease: a 2-year follow-up study

Chunhui Yang et al.

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH (2020)

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Screening for Platelet Dysfunction and Use of Prophylactic Tranexamic Acid in Patients Undergoing Deep Brain Stimulation: A Retrospective Analysis of Incidence and Outcome of Intracranial Hemorrhage

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Influence of Intraoperative Microelectrode Recording in Deep Brain Stimulation

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NEUROLOGIST (2020)

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Outcomes from stereotactic surgery for essential tremor

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Rates, causes, risk factors, and outcomes of readmission following deep brain stimulation for movement disorders: Analysis of the US Nationwide Readmissions Database

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Efficacy and Safety of Deep Brain Stimulation in the Treatment of Parkinson's Disease: A Systematic Review and Meta-analysis of Randomized Controlled Trials

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Review on Factors Affecting Targeting Accuracy of Deep Brain Stimulation Electrode Implantation between 2001 and 2015

Zhe Li et al.

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A detailed analysis of intracerebral hemorrhages in DBS surgeries

Mehmet Tonge et al.

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Surgical adverse events of deep brain stimulation in the subthalamic nucleus of patients with Parkinson's disease. The learning curve and the pitfalls

Fernando Seijo et al.

ACTA NEUROCHIRURGICA (2014)

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Risks of common complications in deep brain stimulation surgery: management and avoidance

Albert J. Fenoy et al.

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Reducing hemorrhagic complications in functional neurosurgery: a large case series and systematic literature review Clinical article

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Sulcal and ventricular trajectories in stereotactic surgery

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JOURNAL OF NEUROSURGERY (2009)

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RISK FACTORS FOR HEMORRHAGE DURING MICROELECTRODE-GUIDED DEEP BRAIN STIMULATION AND THE INTRODUCTION OF AN IMPROVED MICROELECTRODE DESIGN

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Does ageing influence deep brain stimulation outcomes in Parkinson's disease?

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Incidence of hemorrhage associated with electrophysiological studies performed using macroelectrodes and microelectrodes in functional neurosurgery

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Risk factors for hemorrhage during microelectrode-guided deep brain stimulator implantation for movement disorders

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Hemorrhagic complication of stereotactic surgery in patients with movement disorders

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