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Thirty days complication rate following surgery performed for deep-brain-stimulation.
Authors:Jürgen Voges MD  Rüdiger Hilker MD  Kai Bötzel MD  Karl L. Kiening MD  Manja Kloss MD  Andreas Kupsch MD  Alfons Schnitzler MD  Gerd‐Helge Schneider MD  Ulrich Steude MD  Günther Deuschl MD  Markus O. Pinsker MP
Affiliation:1. Departments of Neurology and Stereotactic and Functional Neurology, Albertus‐Magnus University, K?ln, GermanyDepartment of Stereotaxy and Functional Neurosurgery, Albert‐Magnus University K?ln, Kerpenerstr. 62, 50924 K?ln, Germany;2. Departments of Neurology and Stereotactic and Functional Neurology, Albertus‐Magnus University, K?ln, Germany;3. Departments of Neurology and Neurosurgery, Ludwig‐Maximilian‐University, München, Germany;4. Departments of Neurology and Neurosurgery, Ruprecht‐Karls University Heidelberg, Germany;5. Departments of Neurology and Neurosurgery, Charite Hospital, Humboldt University Berlin, Germany;6. Department of Neurology, Heinrich‐Heine University, Düsseldorf, Germany;7. Departments of Neurology and Neurosurgery, Christian Albrechts University Kiel, Germany
Abstract:Serious adverse events (SAEs) during the first 30 postoperative days after stereotactic surgery for Deep-Brain-Stimulation performed in 1,183 patients were retrospectively collected from five German stereotactic centers. The mortality rate was 0.4% and causes for death were pneumonia, pulmonary embolism, hepatopathy, and a case of complicated multiple sclerosis. The permanent surgical morbidity rate was 1%. The most frequently observed SAEs were intracranial hemorrhage (2.2%) and pneumonia (0.6%). Skin infection occurred in 5 of 1,183 patients (0.4%). Surgical complications caused secondary AEs (e.g. pneumonia) preferentially in older patients and in patients treated for Parkinson's disease (PD). Complication rates did not differ among the five centers.
Keywords:stereotaxy  deep‐brain‐stimulation  complications  mortality  morbidity
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