TY - JOUR
T1 - "short term surgical complications after subthalamic deep brain stimulation for Parkinson's disease
T2 - Does old age matter?" Neurology, stroke and cognition
AU - Levi, Vincenzo
AU - Carrabba, Giorgio
AU - Rampini, Paolo
AU - Locatelli, Marco
PY - 2015/10/6
Y1 - 2015/10/6
N2 - Background: Patients aged 65 years and older are not traditionally considered optimal candidates for subthalamic deep brain stimulation (STN-DBS), mainly for their presumed increased incidence of surgical complications. The aim of this study was to assess STN-DBS surgery safety in relation to age. Methods: A total of 107 consecutive patients undergoing bilateral STN-DBS at our institution between 2002 and 2014 were retrospectively stratified according to age in two groups (Young group <65 years old; Elderly group ≥ 65 years old;). Rate of short-term surgical complications (within 90 days) was reviewed and compared between the two groups. Results: Pre-operative baseline data were comparable between the two groups. The 90-days post-operative mortality rate was 0%. Overall incidence of complications related to surgery was 6,54%. In the Elderly group we observed 3 post-operative intra-cerebral haematomas (7,89%), 1 requiring urgent surgical evacuation. In the Young group we observed 2 post-operative asymptomatic intra-cerebral haematomas (2,89%) and 2 wound infections (2,89%), 1 requiring system removal. No others surgical complications were noticed in both groups. Conclusions: Chronological age ≥ 65 years old should not be considered alone as exclusion criteria to STN-DBS surgery.
AB - Background: Patients aged 65 years and older are not traditionally considered optimal candidates for subthalamic deep brain stimulation (STN-DBS), mainly for their presumed increased incidence of surgical complications. The aim of this study was to assess STN-DBS surgery safety in relation to age. Methods: A total of 107 consecutive patients undergoing bilateral STN-DBS at our institution between 2002 and 2014 were retrospectively stratified according to age in two groups (Young group <65 years old; Elderly group ≥ 65 years old;). Rate of short-term surgical complications (within 90 days) was reviewed and compared between the two groups. Results: Pre-operative baseline data were comparable between the two groups. The 90-days post-operative mortality rate was 0%. Overall incidence of complications related to surgery was 6,54%. In the Elderly group we observed 3 post-operative intra-cerebral haematomas (7,89%), 1 requiring urgent surgical evacuation. In the Young group we observed 2 post-operative asymptomatic intra-cerebral haematomas (2,89%) and 2 wound infections (2,89%), 1 requiring system removal. No others surgical complications were noticed in both groups. Conclusions: Chronological age ≥ 65 years old should not be considered alone as exclusion criteria to STN-DBS surgery.
KW - Age
KW - Complications
KW - Deep brain stimulation
KW - Parkinson's disease
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UR - http://www.scopus.com/inward/citedby.url?scp=84943247593&partnerID=8YFLogxK
U2 - 10.1186/s12877-015-0112-2
DO - 10.1186/s12877-015-0112-2
M3 - Article
AN - SCOPUS:84943247593
VL - 15
JO - BMC Geriatrics
JF - BMC Geriatrics
SN - 1471-2318
IS - 1
M1 - 116
ER -