{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:42:17Z","timestamp":1792806137494,"version":"4.5.0"},"reference-count":15,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>The objective of this study was to determine the incidence of seizures following deep brain stimulation (DBS) electrode implantation and to evaluate factors associated with postoperative seizures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>The authors performed a single-center retrospective case-control study. The outcome of interest was seizure associated with DBS implantation. Univariate analyses were performed using the Student t-test for parametric continuous outcomes. The authors used the Kruskal-Wallis test or Wilcoxon rank-sum test for nonparametric continuous outcomes, chi-square statistics for categorical outcomes, and multivariate logistic regression for binomial variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A total of 814 DBS electrode implantations were performed in 645 patients (478 [58.7%] in men and 520 [63.9%] in patients with Parkinson\u2019s disease). In total, 22 (3.4%) patients who had undergone 23 (2.8%) placements experienced seizure. Of the 23 DBS implantation\u2013related seizures, 21 were new-onset seizures (3.3% of 645 patients) and 2 were recurrence or worsening of a prior seizure disorder. Among the 23 cases with postimplantation-related seizure, epilepsy developed in 4 (17.4%) postoperatively; the risk of DBS-associated epilepsy was 0.50% per DBS electrode placement and 0.63% per patient. Nine (39.1%) implantation-related seizures had associated postoperative radiographic abnormalities. Multivariate analyses suggested that age at surgery conferred a modest increased risk for postoperative seizures (OR 1.06, 95% CI 1.02\u20131.10). Sex, primary diagnosis, electrode location and sidedness, and the number of trajectories were not significantly associated with seizures after DBS surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Seizures associated with DBS electrode placement are uncommon, typically occur early within the postoperative period, and seldom lead to epilepsy. This study suggests that patient characteristics, such as age, may play a greater role than perioperative variables in determining seizure risk. Multiinstitutional studies may help better define and mitigate the risk of seizures after DBS surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2020.5.jns20125","type":"journal-article","created":{"date-parts":[[2020,8,7]],"date-time":"2020-08-07T03:43:51Z","timestamp":1596771831000},"page":"279-283","source":"Crossref","is-referenced-by-count":14,"title":["Incidence and risk factors for seizures associated with deep brain stimulation surgery"],"prefix":"10.3171","volume":"135","author":[{"given":"Travis J.","family":"Atchley","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Galal A.","family":"Elsayed","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blake","family":"Sowers","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham School of Medicine, Birmingham, Alabama; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harrison C.","family":"Walker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo","family":"Chagoya","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew C.","family":"Davis","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua D.","family":"Bernstock","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidal B.","family":"Omar","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daxa M.","family":"Patel","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barton L.","family":"Guthrie","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"132","DOI":"10.3171\/2013.10.JNS131225","article-title":"Risks of common complications in deep brain stimulation surgery: management and avoidance","volume":"120","author":"Fenoy\n \nAJ","year":"2014","unstructured":"Fenoy\n \nAJ\n\n, \n\nSimpson\n \nRK\n \nJr\n\n\n. \nRisks of common complications in deep brain stimulation surgery: management and avoidance\n. \nJ Neurosurg\n. \n2014\n;\n120\n(\n1\n):\n132\n\u2013\n139\n.\n2423665710.3171\/2013.10.JNS131225"},{"issue":"suppl 2","key":"b2","series-title":"Neurosurgery","first-page":"190","article-title":"Adverse events associated with deep brain stimulation for movement disorders: analysis of 510 consecutive cases","volume":"11","author":"Patel\n \nDM","year":"2015","unstructured":"Patel\n \nDM\n\n, \n\nWalker\n \nHC\n\n, \n\nBrooks\n \nR\n\n, \n\n\n \nAdverse events associated with deep brain stimulation for movement disorders: analysis of 510 consecutive cases\n. \nNeurosurgery\n. \n2015\n;\n11\n(\nsuppl 2\n):\n190\n\u2013\n199\n.\n25599204"},{"issue":"9","key":"b3","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"1713","DOI":"10.1007\/s00701-017-3252-7","article-title":"Delayed complications of deep brain stimulation: 16-year experience in 249 patients","volume":"159","author":"Fern\u00e1ndez-Pajar\u00edn\n \nG","year":"2017","unstructured":"Fern\u00e1ndez-Pajar\u00edn\n \nG\n\n, \n\nSesar\n \nA\n\n, \n\nAres\n \nB\n\n, \n\n\n \nDelayed complications of deep brain stimulation: 16-year experience in 249 patients\n. \nActa Neurochir (Wien)\n. \n2017\n;\n159\n(\n9\n):\n1713\n\u2013\n1719\n.\n10.1007\/s00701-017-3252-728646465"},{"issue":"4","key":"b4","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"621","DOI":"10.3171\/jns.2007.106.4.621","article-title":"Short-term and long-term safety of deep brain stimulation in the treatment of movement disorders","volume":"106","author":"Kenney\n \nC","year":"2007","unstructured":"Kenney\n \nC\n\n, \n\nSimpson\n \nR\n\n, \n\nHunter\n \nC\n\n, \n\n\n \nShort-term and long-term safety of deep brain stimulation in the treatment of movement disorders\n. \nJ Neurosurg\n. \n2007\n;\n106\n(\n4\n):\n621\n\u2013\n625\n.\n10.3171\/jns.2007.106.4.62117432713"},{"issue":"9","key":"b5","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"867","DOI":"10.1007\/s00701-007-1267-1","article-title":"Complications in subthalamic nucleus stimulation surgery for treatment of Parkinson\u2019s disease. 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