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. 2021 Jul 19:12:355.
doi: 10.25259/SNI_372_2021. eCollection 2021.

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

João Pedro Einsfeld Britz  1 , Paulo Roberto Franceschini  2 , Miguel Bertelli Ramos  1 , Pedro Henrique Pires de Aguiar  3 , Jibril Osman Farah  4 , Paulo Henrique Pires de Aguiar  5
Affiliations

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

João Pedro Einsfeld Britz et al. Surg Neurol Int. .

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.

Keywords: Complications; Deep brain stimulation; Functional neurosurgery; Parkinson’s disease; Skin erosion.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1:
Figure 1:
Skin erosion at the connector’s site.
Figure 2:
Figure 2:
Exposure of the leads and connectors. Debridement and release of adhesions.
Figure 3:
Figure 3:
Anteriorization of connectors and the extensions and placement underneath the splitted temporal muscle. Implants envolved and wrapped by the temporal muscle with topical vancomycin powder and secured with unabsorbable nylon sutures.
See this image and copyright information in PMC

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