Rechargeable Pacemaker Technology in Deep Brain Stimulation: A Step Forward, But Not for Everyone
| Autor: | Assel Saryyeva, Christoph Schrader, Joachim Runge, Johanna M. Nagel, Joachim K. Krauss |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Dystonia
medicine.medical_specialty Movement disorders Deep brain stimulation business.industry medicine.medical_treatment implantable pulse generator Alcohol dependency Nucleus accumbens medicine.disease nervous system diseases deep brain stimulation Physical medicine and rehabilitation Neurology nervous system Parkinson rechargeable pacemaker medicine movement disorders Case Series Neurology (clinical) medicine.symptom business |
| Zdroj: | Movement Disorders Clinical Practice |
| ISSN: | 2330-1619 |
| Popis: | Background Rechargeable implantable pulse generator (IPG) technology has several advantages over non‐rechargeable systems and is routinely used now in deep brain stimulation (DBS). Little is known about the occasional need and the circumstances for switching back to non‐rechargeable technology. Cases Out of a cohort of 640 patients, 102 patients received a rechargeable IPG at first implantation or at the time of replacement surgery. Out of these, 3 patients underwent preemptive replacement with non‐rechargeable devices for the following reasons: dissatisfaction with handling and recharge frequency (pallidal DBS in advanced Parkinson's disease/dystonia), severe DBS OFF status subsequent to missed recharging (subthalamic DBS in Parkinson's disease) and twiddler's syndrome (nucleus accumbens DBS in alcohol dependency). Conclusions Although rechargeable IPG technology has been received well and is used widely, there are unexpected scenarios that require replacement surgery with non‐rechargeable IPGs. |
| Databáze: | OpenAIRE |
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