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Analysis of Delayed Intracerebral Hemorrhage Associated with Deep Brain Stimulation Surgery.

DC Field Value Language
dc.contributor.author김민수-
dc.contributor.author박창규-
dc.contributor.author장진우-
dc.contributor.author정나영-
dc.date.accessioned2018-07-20T12:03:48Z-
dc.date.available2018-07-20T12:03:48Z-
dc.date.issued2017-
dc.identifier.issn1878-8750-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/161716-
dc.description.abstractOBJECTIVE: Deep brain stimulation (DBS) may cause various complications including intracerebral hemorrhage (ICH). Because ICH causes devastating neurologic outcomes, various surgical techniques are attempting to reduce the chances of ICH. More importantly, early detection and proper management of postoperative ICH are indispensable. ICH may occur immediately or delayed following DBS; in this study, we analyzed the clinical features of delayed ICH after DBS. METHODS: Patients (n = 272) underwent postoperative brain computed tomography (CT) immediately after and 1 day after DBS between January 2008 and November 2016. Among these patients, 136 patients had Parkinson disease, 54 suffered from dystonia, 47 presented with essential tremor, and 9 had obsessive-compulsive disorder. RESULTS: Out of the 272 patients who underwent 448 DBS lead implantations, 13 patients showed postoperative ICH. The ICH rate was 2.9% per lead and 4.77% per patient during the study period. Three patients (1.1%) demonstrated ICH immediately after DBS, and 10 patients (3.7%) demonstrated delayed ICH. Among them, only 1 patient showed large ICH (30 cm3) with elevation of intracranial pressure, subsequently undergoing ICH removal surgery and recovering without permanent neurologic deficits. The other 12 patients demonstrated small ICH (1-10 cm3). None of the patients with ICH demonstrated permanent disability. CONCLUSIONS: Our study demonstrates that delayed ICH can occur after DBS even with normal brain CT immediately after DBS. Because ICH can cause serious neurological sequelae, the possibility of delayed ICH after DBS should be considered for the optimal management of patients.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfWORLD NEUROSURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHAdult-
dc.subject.MESHAftercare-
dc.subject.MESHAged-
dc.subject.MESHBrain Infarction/diagnostic imaging-
dc.subject.MESHBrain Infarction/etiology-
dc.subject.MESHCerebral Hemorrhage/diagnostic imaging-
dc.subject.MESHCerebral Hemorrhage/etiology*-
dc.subject.MESHChild-
dc.subject.MESHDeep Brain Stimulation/adverse effects*-
dc.subject.MESHDystonia/surgery*-
dc.subject.MESHEssential Tremor/surgery*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIntracranial Hypertension/diagnostic imaging-
dc.subject.MESHIntracranial Hypertension/etiology-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHObsessive-Compulsive Disorder/surgery*-
dc.subject.MESHParkinson Disease/surgery*-
dc.subject.MESHPostoperative Complications/diagnostic imaging-
dc.subject.MESHPostoperative Complications/etiology*-
dc.subject.MESHTime Factors-
dc.subject.MESHTomography, X-Ray Computed-
dc.subject.MESHYoung Adult-
dc.titleAnalysis of Delayed Intracerebral Hemorrhage Associated with Deep Brain Stimulation Surgery.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Neurosurgery-
dc.contributor.googleauthorChang Kyu Park-
dc.contributor.googleauthorNa Young Jung-
dc.contributor.googleauthorMinsoo Kim-
dc.contributor.googleauthorJin Woo Chang-
dc.identifier.doi10.1016/j.wneu.2017.05.075-
dc.contributor.localIdA04733-
dc.contributor.localIdA05340-
dc.contributor.localIdA03484-
dc.contributor.localIdA05272-
dc.relation.journalcodeJ02806-
dc.identifier.eissn1878-8769-
dc.identifier.pmid28536064-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S187887501730774X-
dc.subject.keywordComplication-
dc.subject.keywordDeep brain stimulation-
dc.subject.keywordIntracerebral hemorrhage-
dc.subject.keywordVenous infarction-
dc.contributor.alternativeNameKim, Minsoo-
dc.contributor.alternativeNamePark, Chang Kyu-
dc.contributor.alternativeNameChang, Jin Woo-
dc.contributor.alternativeNameJung, Na Young-
dc.contributor.affiliatedAuthorKim, Minsoo-
dc.contributor.affiliatedAuthorPark, Chang Kyu-
dc.contributor.affiliatedAuthorChang, Jin Woo-
dc.contributor.affiliatedAuthorJung, Na Young-
dc.citation.volume104-
dc.citation.startPage537-
dc.citation.endPage544-
dc.identifier.bibliographicCitationWORLD NEUROSURGERY, Vol.104 : 537-544, 2017-
dc.identifier.rimsid61737-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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