• Neuromodulation · Dec 2014

    Cosmetic posterior implant of internal pulse generators in deep brain stimulation procedures: technical report.

    • Giuseppe Messina, Michele Rizzi, Ivano Dones, and Angelo Franzini.
    • Unit of Functional Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
    • Neuromodulation. 2014 Dec 1;17(8):729-30.

    ObjectiveThe study aims to describe a novel cosmetic implantation technique of internal pulse generators (IPGs) for deep brain stimulation (DBS) electrodes.Materials And MethodsThirty Parkinson patients during the interval 2001 to 2012 underwent posterior (cervical, dorsal, and lateral subcostal ) subcutaneous implantation of DBS connection cables and IPGs in the prone position.ResultsNo surgical complications occurred in any of the patients who underwent this procedure; all of the patients reported a high level of satisfaction with the cosmetic results due to the excellent concealment of the implanted devices.ConclusionsAlthough this procedure is a little more time consuming compared with the conventional procedure, it is safe and leads to very good cosmetic results in DBS patients, which has significant benefits from the standpoint of social and work activities.© 2014 International Neuromodulation Society.

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