"Short term surgical complications after subthalamic deep brain stimulation for Parkinson's disease: does old age matter?". Issue 1 (December 2015)

• Record Type: Journal Article
• Authors: Levi, Vincenzo; Carrabba, Giorgio; Rampini, Paolo; Locatelli, Marco
• Is Part Of: BMC geriatrics. Volume 15:Issue 1(2015)
• Page Start: 1
• Page End: 5
• Publication Date: 2015-12
• Subjects: Deep brain stimulation -- Parkinson's disease -- Age -- Complications; Geriatrics -- Periodicals; 618.97005
• DOI: 10.1186/s12877-015-0112-2
• Languages: English
• ISSNs: 1471-2318

Abstract

Abstract 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.