Tissue expansion for challenging DBS hardware erosions in patients with Parkinson's disease

Nikhil Thakur; Michael Eibach; Shahram Ghanaati; Lutz Weise; Volker Seifert; Gerhard Marquardt; Johanna Quick-Weller

doi:10.1016/j.bas.2022.101188

Tissue expansion for challenging DBS hardware erosions in patients with Parkinson's disease

Brain Spine. 2022 Sep 16:2:101188. doi: 10.1016/j.bas.2022.101188. eCollection 2022.

Authors

Nikhil Thakur¹, Michael Eibach¹, Shahram Ghanaati², Lutz Weise³, Volker Seifert¹, Gerhard Marquardt¹, Johanna Quick-Weller¹

Affiliations

¹ Department of Neurosurgery, Johann Wolfgang Goethe University Hospital, Frankfurt, Germany.
² Department of Oral- Cranio- Maxillofacial and Facial Plastic Surgery, Johann Wolfgang Goethe University Hospital, Frankfurt, Germany.
³ Division of Neurosurgery, Dalhousie University, Halifax, Canada.

Abstract

•Consider tissue expanders for challenging DBS cases in PD patients with hardware erosion.•Placement of tissue expander is essential in planning the reconstruction.•MRI-compatibility of the tissue expander is paramount for shortening the total duration of anesthesia.•Role of routine skin biopsies to identify PD patients at additional risk for developing scalp defects should be investigated.

Keywords: Deep brain stimulation; Hardware erosion; Impulse generator; Parkinson's disease; Scalp defect; Tissue expander.