Management of infected cerebellar stimulation systems

R. Davis, J. Kudzma, K. Ratzan

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Over a 7-year period (February 1974 through February 1981), 318 patients underwent the implantation of cerebellar stimulation systems for the reduction of spasticity (98%) or epilepsy (2%). A total of 518 procedures were carried out to implant and maintain the equipment during this period. Fourteen patients developed infections in the tissue around their implanted systems, which represented 4.4% of the patients or 2.7% of the procedures performed. Staphylococcus aureus was the infectious agent in 7 cases (50%), the clinical features of which occurred usually within 1 month. Staphylococcus epidermidis infected 5 patients with features presenting late (more than 2 years) after the initial implantation. The management involved antibiotic therapy for 2 weeks in all 14 patients. In 12 patients, the entire system was removed, with 100% eradication of the infection. In the other 2 patients, the radio receiver and lead wires up to but not including the cerebellar electrode pads were removed. One of these 2 patients has been free of infection for 4 years. The other had S. aureus cultured from removed electrode pads after 6 weeks. Of the 14 cases, morbidity was severe in only 1 patient. Seven patients underwent reimplantation 6 weeks after the infection.

Original languageEnglish
Pages (from-to)340-343
Number of pages4
JournalNeurosurgery
Volume10
Issue number3
StatePublished - Jan 1 1982
Externally publishedYes

Fingerprint

Infection
Staphylococcus aureus
Electrodes
Staphylococcus epidermidis
Replantation
Radio
Epilepsy
Anti-Bacterial Agents
Morbidity
Equipment and Supplies
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Davis, R., Kudzma, J., & Ratzan, K. (1982). Management of infected cerebellar stimulation systems. Neurosurgery, 10(3), 340-343.

Management of infected cerebellar stimulation systems. / Davis, R.; Kudzma, J.; Ratzan, K.

In: Neurosurgery, Vol. 10, No. 3, 01.01.1982, p. 340-343.

Research output: Contribution to journalArticle

Davis, R, Kudzma, J & Ratzan, K 1982, 'Management of infected cerebellar stimulation systems', Neurosurgery, vol. 10, no. 3, pp. 340-343.
Davis R, Kudzma J, Ratzan K. Management of infected cerebellar stimulation systems. Neurosurgery. 1982 Jan 1;10(3):340-343.
Davis, R. ; Kudzma, J. ; Ratzan, K. / Management of infected cerebellar stimulation systems. In: Neurosurgery. 1982 ; Vol. 10, No. 3. pp. 340-343.
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