Abstract
BACKGROUND: Deep brain stimulation (DBS) of the basal ganglia is an evolving technique for managing intractable movement disorders such as those due to Parkinson disease. We conducted a retrospective review of the DBS procedures that have been performed at our institution to determine the frequency and types complications that occurred. METHODS: After Institutional Review Board approval, 258 procedures involving 250 patients were retrospectively reviewed. Univariate analysis using the χ test for the categorical variables and a t-test for the continuous variables was performed on patients with and without complications to determine potential risk factors. RESULTS: The most common anesthesia technique used for DBS procedures was monitored anesthesia care using a propofol infusion during the early part of the case. Airway, respiratory, neurologic, and psychologic/psychiatric complications occurred. Age was found to be an independent risk factor for complications during DBS. CONCLUSION: This retrospective study demonstrates that age is an independent risk factor for complications during DBS procedures. Monitored anesthesia care using propofol seems to be a safe technique for DBS procedures; however, dexmedetomidine can also be used.
Original language | English (US) |
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Pages (from-to) | 36-40 |
Number of pages | 5 |
Journal | Journal of Neurosurgical Anesthesiology |
Volume | 20 |
Issue number | 1 |
DOIs | |
State | Published - Jan 2008 |
Externally published | Yes |
Keywords
- Cleveland Clinic
- Complications
- Deep brain stimulation
- Parkinson disease
ASJC Scopus subject areas
- Surgery
- Clinical Neurology
- Anesthesiology and Pain Medicine