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雑誌文献

Neurological Surgery 脳神経外科47巻10号

2019年10月発行

文献概要

研究

脳深部刺激手術における術後デバイス関連感染の検討

著者: 小座野いづみ13 川崎隆1 濱田幸一14 木村活生2 岸田日帯2 岡村泰5 樋口優理子6 浦丸浩一1 坂田勝巳1 山本哲哉7

所属機関: 1横浜市立大学附属市民総合医療センター脳神経外科 2横浜市立大学附属市民総合医療センター神経内科 3小田原市立病院脳神経外科 4神奈川県立足柄上病院脳神経外科 5東京都立松沢病院精神科 6汐田総合病院脳神経外科 7横浜市立大学大学院医学研究科脳神経外科学

ページ範囲:P.1037 - P.1043

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Ⅰ.緒  言
 脳深部刺激療法(deep brain stimulation:DBS)はパーキンソン病,本態性振戦,ジストニア等の運動異常症に対する治療法として確立している.その一方で,手術による合併症は機能外科という性格上,ひとたび発生すると重大な問題となることが多い.特に感染は,異物を埋め込むためしばしば難治性となり,埋め込んだデバイスを除去せざるを得なくなることもある.今回,当施設でのDBS症例について,術後の感染例を検討した.

参考文献

1) Bhatia S, Zhang K, Oh M, Angle C, Whiting D:Infections and hardware salvage after deep brain stimulation surgery:a single-center study and review of literature. Stereotact Funct Neurosurg 88:147-155, 2010
2) Bjerknes S, Skogseid IM, Sæhle T, Dietrichs E, Toft M:Surgical site infections after deep brain stimulation surgery:frequency, characteristics and management in a 10-year period. PLoS One 9:e105288, 2014. doi:10.1371/journal.pone.0105288
3) Brandmeir N, Nehrbass E, McInerney J:An analysis of scalp thickness and other novel risk factors for deep brain stimulator infections. Cureus 8:e792, 2016. doi:10.7759/cureus.792
4) Constantoyannis C, Berk C, Honey CR, Mendez I, Brownstone RM:Reducing hardware-related complications of deep brain stimulation. Can J Neurol Sci 32:194-200, 2005
5) Fenoy AJ, Simpson RK Jr. :Risks of common complications in deep brain stimulation surgery:management and avoidance. J Neurosurg 120:132-139, 2014
6) Hardaway FA, Raslan AM, Burchiel KJ:Deep brain stimulation-related infections:analysis of rates, timing, and seasonality. Neurosurgery 83:540-547, 2018
7) Jitkritsadakul O, Bhidayasiri R, Kalia SK, Hodaie M, Lozano AM, Fasano A:Systematic review of hardware-related complications of deep brain stimulation:Do new indications pose an increased risk? Brain Stimul 10:967-976, 2017
8) Kim MS, Jeong JS, Ryu HS, Choi SH, Chung SJ:Infection related to deep brain stimulation in patients with Parkinson disease:clinical characteristics and risk factors. J Neurol Sci 383:135-141, 2017
9) Park YS, Kang JH, Kim HY, Kang DW, Chang WS, Kim JP, Chang JW:A combination procedure with double C-shaped skin incision and dual-floor burr hole method to prevent skin erosion on the scalp and reduce postoperative skin complications in deep brain stimulation. Stereotact Funct Neurosurg 89:178-184, 2010
10) Servello D, Saleh C, Bona AR, Minichiello M, Zekaj E:Dual floor burr hole technique in deep brain stimulation:a retrospective study on 209 patients. Surg Neurol Int 8:280, 2017. doi:10.4103/sni.sni_144_17
11) Sixel-Döring F, Trenkwalder C, Kappus C, Hellwig D:Skin complications in deep brain stimulation for Parkinson's disease:frequency, time course, and risk factors. Acta Neurochir(Wien)152:195-200, 2010
12) Sorar M, Hanalioglu S, Kocer B, Eser MT, Comoglu SS, Kertmen H:Experience reduces surgical and hardware-related complications of deep brain stimulation surgery:a single-center study of 181 patients operated in six years. Parkinsons Dis:3056018, 2018. doi:10.1155/2018/3056018
13) Tolleson C, Stroh J, Ehrenfeld J, Neimat J, Konrad P, Phibbs F:The factors involved in deep brain stimulation infection:a large case series. Stereotact Funct Neurosurgery 92:227-233, 2014
14) Voges J, Waerzeggers Y, Maarouf M, Lehrke R, Koulousakis A, Lenartz D, Sturm V:Deep-brain stimulation:long-term analysis of complications caused by hardware and surgery-experiences from a single centre. J Neurol Neurosurg Psychiatry 77:868-872, 2006
15) Voges J, Hilker R, Bötzel K, Kiening KL, Kloss M, Kupsch A, Schnitzler A, Schneider GH, Steude U, Deuschl G, Pinsker MO:Thirty days complication rate following surgery performed for deep-brain-stimulation. Mov Disord 22:1486-1489, 2007
16) Yamamoto T, Katayama Y, Kobayashi K, Oshima H, Fukaya C:Dual-floor burr hole adjusted to burr-hole ring and cap for implantation of stimulation electrodes. Technical note. J Neurosurg 99:783-784, 2003
17) Zhou R, Ma Y, Liu W, Miao S, Zhang Y:Long-term effect of modified incision to prevent related complications in deep brain stimulation. World Neurosurg 117:280-283, 2018

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1251

印刷版ISSN:0301-2603

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