A Stepwise Approach: Decreasing Infection in Deep Brain Stimulation for Childhood Dystonic Cerebral Palsy. (September 2017)

• Record Type: Journal Article
• Authors: Johans, Stephen J.; Swong, Kevin N.; Hofler, Ryan C.; Anderson, Douglas E.
• Is Part Of: Journal of child neurology. Volume 32:Number 10(2017:Sep.)
• Page Start: 871
• Page End: 875
• Publication Date: 2017-09
• Subjects: cerebral palsy -- deep brain stimulation -- dystonia -- surgical site infection; Nervous system -- Diseases -- Periodicals; 618.928
• DOI: 10.1177/0883073817713900
• Languages: English
• ISSNs: 0883-0738

Abstract

Dystonia is a movement disorder characterized by involuntary muscle contractions, which cause twisting movements or abnormal postures. Deep brain stimulation has been used to improve the quality of life for secondary dystonia caused by cerebral palsy. Despite being a viable treatment option for childhood dystonic cerebral palsy, deep brain stimulation is associated with a high rate of infection in children. The authors present a small series of patients with dystonic cerebral palsy who underwent a stepwise approach for bilateral globus pallidus interna deep brain stimulation placement in order to decrease the rate of infection. Four children with dystonic cerebral palsy who underwent a total of 13 surgical procedures (electrode and battery placement) were identified via a retrospective review. There were zero postoperative infections. Using a multistaged surgical plan for pediatric patients with dystonic cerebral palsy undergoing deep brain stimulation may help to reduce the risk of infection.