Skin erosion in deep brain stimulation procedures: Using the temporalis muscle to treat this complication – A technical note

Author:

Britz João Pedro Einsfeld1,Franceschini Paulo Roberto2,Ramos Miguel Bertelli1,de Aguiar Pedro Henrique Pires3,Farah Jibril Osman4,de Aguiar Paulo Henrique Pires5

Affiliation:

1. Department of Health Science, Medical School, University of Caxias do Sul, Caxias do Sul, Rio Grande do Sul, Brazil

2. Department of Neurology and Neurosurgery, University of Caxias do Sul, Caxias do Sul, Rio Grande do Sul, Brazil

3. Department of Medical Science, Medical School, Catholic Pontifical University of Sao Paulo, Sao Paulo, Brazil,

4. Department of Neurosurgery, The Walton Centre, Liverpool, United Kingdom,

5. Department of Neurology, Division of Neurology, Catholic Pontifical University of Sorocaba, Sorocaba, Brazil.

Abstract

Background: Skin erosion is a common complication after deep brain stimulator procedures. Despite being a relatively common event, there is no standard surgical technique or a widely accepted guideline for managing this kind of complication. Methods: We describe a case of cutaneous erosion in the connector’s site of deep brain stimulation case, surgically managed with anterior displacement of the connectors and overlapping and wrapping the connections within the temporal muscle. Results: Postoperatively, the patient did well and achieved complete resolution of the skin erosion, with no signs of infection or new skin lesions. Conclusion: This technique demonstrated to be effective in this case in the long-term follow-up.

Publisher

Scientific Scholar

Subject

Clinical Neurology,Surgery

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4. Technical note: Preemptive surgical revision of impending deep brain stimulation hardware erosion;Barrett;World Neurosurg,2018

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1. Skin erosion following deep brain stimulator implantation: A case report;Interdisciplinary Neurosurgery;2024-06

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