{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T17:05:37Z","timestamp":1774976737609,"version":"3.50.1"},"reference-count":34,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Stereotact Funct Neurosurg"],"abstract":"<jats:p>Introduction: Deep brain stimulation (DBS) is an established therapy that can significantly improve patients\u2019 quality of life in several disorders. Besides its benefits, hardware-related problems including erosion and wound infections are well known problems. In the present series, we describe a novel phenomenon manifesting as denial for hardware-related skin erosion in patients with movement disorders benefiting from DBS in various targets. Methods: Patients were collected from two large DBS cohorts over a period of 28 years. The skin erosion was identified upon the occasion of a routine follow-up with the patients apparently being unaware\/not noticing its occurrence. Demographic, clinical, and operative data were analyzed. Additionally, the hardware-related skin erosion and its time of diagnosis, as well as the consecutive treatment, were registered. Results: Overall, 5 patients were identified with denial for hardware-related skin erosion. Three were men; two were women. The mean age at surgery was 66 years (range, 54\u201378). Three patients had dystonia; 2 patients had Parkinson\u2019s disease. DBS targets were the globus pallidus internus and various thalamic nuclei. All patients benefited markedly from chronic DBS (mean improvement of 76.7% according to the specific rating scales). The hardware-related skin erosion was diagnosed at a median follow-up of 18 months after DBS implantation (range, 5\u2013264 months). Despite multiple surgical attempts at preservation, the neurostimulation system was ultimately explanted in 3 patients. Conclusion: Denial toward hardware-related skin erosion in DBS, most probably denial, is a rare but potentially serious complication during chronic DBS.<\/jats:p>","DOI":"10.1159\/000550653","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T17:01:00Z","timestamp":1769706060000},"page":"1-7","source":"Crossref","is-referenced-by-count":0,"title":["Denial of Hardware-Related Skin Erosion in Patients with Effective Deep Brain Stimulation: A Novel Phenomenon"],"prefix":"10.1159","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1201-7590","authenticated-orcid":false,"given":"Filipe","family":"Wolff Fernandes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8525-8224","authenticated-orcid":false,"given":"Rasmus","family":"Stenmark 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