{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T10:26:01Z","timestamp":1791109561817,"version":"4.1.0"},"reference-count":36,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,4]]},"abstract":"<jats:p content-type=\"fine-print\"><jats:italic>Object.<\/jats:italic> Deep brain stimulation (DBS) has been advocated as a more highly effective and less morbidity-producing alternative to ablative stereotactic surgery in the treatment of medically intractable movement disorders. Nevertheless, the exact incidence of morbidity and mortality associated with the procedure is not well known. In this study the authors reviewed the surgical morbidity and mortality rates in a large series of DBS operations.<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Methods.<\/jats:italic> The authors retrospectively analyzed surgical complications in their consecutive series of 179 DBS implantations in 109 patients performed by a single surgical team at one center between July 1998 and April 2002. The mean follow-up period was 20 months.<\/jats:p>\n<jats:p content-type=\"fine-print\">There were 16 serious adverse events related to surgery in 14 patients (12.8%). There were two perioperative deaths (1.8%), one caused by pulmonary embolism and the second due to aspiration pneumonia. The other adverse events were two pulmonary embolisms, two subcortical hemorrhages, two chronic subdural hematomas, one venous infarction, one seizure, four infections, one cerebrospinal fluid leak, and one skin erosion. The incidence of permanent sequelae was 4.6% (five of 109 patients). The incidence of device-related complications, such as infection or skin erosion, was also 4.6% (five of 109 patients).<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Conclusions.<\/jats:italic> There is a significant incidence of adverse events associated with the DBS procedure. Nevertheless, DBS is clinically effective in well-selected patients and should be seriously considered as a treatment option for patients with medically refractory movement disorders.<\/jats:p>","DOI":"10.3171\/jns.2003.98.4.0779","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T17:59:01Z","timestamp":1242237541000},"page":"779-784","source":"Crossref","is-referenced-by-count":208,"title":["Deep brain stimulation for movement disorders: morbidity and mortality in 109 patients"],"prefix":"10.3171","volume":"98","author":[{"given":"Atsushi","family":"Umemura","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jurg L.","family":"Jaggi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard I.","family":"Hurtig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew D.","family":"Siderowf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Colcher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew B.","family":"Stern","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gordon H.","family":"Baltuch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neurology","first-page":"S40","article-title":"Deep brain stimulation of the subthalamic nucleus for Parkinson's disease: methodologic aspects and clinical criteria.","volume":"55","author":"Benabid","year":"2000"},{"key":"b2","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"203","DOI":"10.3171\/jns.1996.84.2.0203","article-title":"Chronic electrical stimulation of the ventralis intermedius nucleus of the thalamus as a treatment of movement disorders.","volume":"84","author":"Benabid","year":"1996"},{"key":"b3","series-title":"Stereotact Funct Neurosurg","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1159\/000064600","article-title":"Complications of deep brain stimulation surgery.","volume":"77","author":"Beric","year":"2001"},{"key":"b4","series-title":"Semin Neurosurg","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1055\/s-2001-17128","article-title":"Surgery for movement disorders: complications and complication avoidance.","volume":"12","author":"Broggi","year":"2001"},{"key":"b5","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"1375","DOI":"10.1097\/00006123-199912000-00024","article-title":"Comparison of pallidal and subthalamic nucleus deep brain stimulation for advanced Parkinson's disease: results of a randomized, blinded pilot study.","volume":"45","author":"Burchiel","year":"1999"},{"key":"b6","series-title":"Neurological Surgery: A Comprehensive Reference Guide to the Diagnosis and Management of Neurosurgical Problems","first-page":"1236","article-title":"Hydrocephalus in childhood","author":"Chapman","year":"1990"},{"key":"b7","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"19","DOI":"10.3171\/jns.1986.65.1.0019","article-title":"The incidence of epilepsy after ventricular shunting procedures.","volume":"65","author":"Dan","year":"1986"},{"key":"b8","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"1008","DOI":"10.1212\/WNL.58.7.1008","article-title":"Morbidity and mortality following pallidotomy in Parkinson's disease: a systematic review.","volume":"58","author":"de Bie","year":"2002"},{"key":"b9","series-title":"N Engl J Med","first-page":"956","article-title":"Deep-brain stimulation of the subthalamic nucleus or the pars interna of the globus pallidus in Parkinson's disease.","volume":"345","year":"2001"},{"key":"b10","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"713","DOI":"10.3171\/jns.1998.89.5.0713","article-title":"Efficiency and safety of bilateral contemporaneous pallidal stimulation (deep brain stimulation) in levodopa-responsive patients with Parkinson's disease with severe motor fluctuations: a 2-year follow-up review.","volume":"89","author":"Ghika","year":"1998"},{"key":"b11","series-title":"J Neurol Neurosurg Psychiatry","first-page":"I32","article-title":"Surgery for movement disorders.","volume":"72","author":"Gregory","year":"2002"},{"key":"b12","series-title":"Ann Neurol","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1002\/1531-8249(200009)48:3<372::AID-ANA12>3.0.CO;2-0","article-title":"No tissue damage by chronic deep brain stimulation in Parkinson's disease.","volume":"48","author":"Haberler","year":"2000"},{"key":"b13","series-title":"Mov Disord","doi-asserted-by":"publisher","first-page":"S162","DOI":"10.1002\/mds.10159","article-title":"Complications of deep brain stimulation surgery.","volume":"17","author":"Hariz","year":"2002"},{"key":"b14","series-title":"Stereotact Funct Neurosurg","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1159\/000029720","article-title":"Do microelectrode techniques increase accuracy or decrease risks in pallidotomy and deep brain stimulation? A critical review of the literature.","volume":"72","author":"Hariz","year":"1999"},{"key":"b15","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1212\/WNL.17.5.427","article-title":"Parkinsonism: onset, progression and mortality.","volume":"17","author":"Hoehn","year":"1967"},{"key":"b16","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"1150","DOI":"10.1212\/WNL.46.4.1150","article-title":"Deep brain stimulation for essential tremor.","volume":"46","author":"Hubble","year":"1996"},{"key":"b17","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1016\/0090-3019(95)80121-V","article-title":"Pulmonary embolism in neurosurgical patients.","volume":"43","author":"Inci","year":"1995"},{"key":"b18","series-title":"Mov Disord","doi-asserted-by":"publisher","first-page":"S175","DOI":"10.1002\/mds.10161","article-title":"Hardware-related problems of deep brain stimulation.","volume":"17","author":"Joint","year":"2002"},{"key":"b19","series-title":"Neurology","first-page":"S29","article-title":"Deep brain stimulation of the Vim nucleus of the thalamus for the treatment of tremor.","volume":"55","author":"Koller","year":"2000"},{"key":"b20","series-title":"J Neurol","doi-asserted-by":"publisher","first-page":"II122","DOI":"10.1007\/PL00022913","article-title":"Thalamic, pallidal, or subthalamic surgery for Parkinson's disease?","volume":"247","author":"Krack","year":"2000"},{"key":"b21","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1136\/jnnp.70.4.464","article-title":"Deep brain stimulation for the treatment of Parkinson's disease: subthalamic nucleus versus globus pallidus internus.","volume":"70","author":"Krause","year":"2001"},{"key":"b22","series-title":"N Engl J Med","doi-asserted-by":"publisher","first-page":"1105","DOI":"10.1056\/NEJM199810153391603","article-title":"Electrical stimulation of the subthalamic nucleus in advanced Parkinson's disease.","volume":"339","author":"Limousin","year":"1998"},{"key":"b23","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1136\/jnnp.66.3.289","article-title":"Multicentre European study of thalamic stimulation in parkinsonian and essential tremor.","volume":"66","author":"Limousin","year":"1999"},{"key":"b24","series-title":"Neurosurgery","first-page":"1268","article-title":"Long-term hardware-related complications of deep brain stimulation.","volume":"50","author":"Oh","year":"2002"},{"key":"b25","series-title":"Mov Disord","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1002\/1531-8257(200101)16:1<140::AID-MDS1025>3.0.CO;2-T","article-title":"Comparison of thalamotomy to deep brain stimulation of the thalamus in essential tremor.","volume":"16","author":"Pahwa","year":"2001"},{"key":"b26","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1058","DOI":"10.3171\/jns.2002.96.6.1058","article-title":"A metaanalysis comparing the results of pallidotomy performed using microelectrode recording or macroelectrode stimulation.","volume":"96","author":"Palur","year":"2002"},{"key":"b27","series-title":"Mov Disord","doi-asserted-by":"publisher","first-page":"S75","DOI":"10.1002\/mds.10146","article-title":"Treatment result: Parkinson's disease.","volume":"17","author":"Pollak","year":"2002"},{"key":"b28","series-title":"Mov Disord","doi-asserted-by":"publisher","first-page":"S155","DOI":"10.1002\/mds.10158","article-title":"Intraoperative micro- and macrostimulation of the subthalamic nucleus in Parkinson's disease.","volume":"17","author":"Pollak","year":"2002"},{"key":"b29","series-title":"Atlas for Stereotaxy of the Human Brain","author":"Schaltenbrand","year":"1977"},{"key":"b30","series-title":"N Engl J Med","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1056\/NEJM200002173420703","article-title":"A comparison of continuous thalamic stimulation and thalamotomy for suppression of severe tremor.","volume":"342","author":"Schuurman","year":"2000"},{"key":"b31","series-title":"Third Symposium on Parkinson's Disease, Royal College of Surgeons in Edinburgh, May 20\u201322, 1968.","first-page":"152","article-title":"Projection technique for evaluating surgery in Parkinson's disease","author":"Schwab","year":"1969"},{"key":"b32","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"666","DOI":"10.3171\/jns.2002.96.4.0666","article-title":"Bilateral stimulation of the subthalamic nucleus in patients with Parkinson disease: a study of efficacy and safety.","volume":"96","author":"Simuni","year":"2002"},{"key":"b33","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"370","DOI":"10.3171\/jns.2002.97.2.0370","article-title":"Implantation of deep brain stimulators into the subthalamic nucleus: technical approach and magnetic resonance imaging-verified lead locations.","volume":"97","author":"Starr","year":"2002"},{"key":"b34","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1016\/S0090-3019(97)00459-X","article-title":"Deep brain stimulation is preferable to thalamotomy for tremor suppression.","volume":"49","author":"Tasker","year":"1998"},{"key":"b35","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"700","DOI":"10.3171\/jns.1997.87.5.0700","article-title":"Pallidal stimulation: an alternative to pallidotomy?","volume":"87","author":"Tronnier","year":"1997"},{"key":"b36","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1212\/WNL.56.4.548","article-title":"Safety and efficacy of pallidal or subthalamic nucleus stimulation in advanced PD.","volume":"56","author":"Volkmann","year":"2001"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/98\/4\/article-p779.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/98\/4\/article-p779.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/98\/4\/article-p779.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,26]],"date-time":"2023-03-26T20:04:20Z","timestamp":1679861060000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/98\/4\/article-p779.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,4]]},"references-count":36,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3171\/jns.2003.98.4.0779","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[2003,4]]}}}