Diagnosis and treatment of complications related to deep brain stimulation hardware

Mov Disord. 2011 Jul;26(8):1398-406. doi: 10.1002/mds.23800. Epub 2011 Jun 28.


Deep brain stimulation is a therapeutic technique increasingly used in the treatment of a variety of neurological, psychiatric, and pain disorders. Although beneficial, it carries the immediate and long-term risks associated with implanted hardware in the brain parenchyma and subcutaneous tissue. The most common hardware complications include electrode migrations or misplacements, wire fractures, skin erosion, infections, and device malfunction. We systematically reviewed the literature on deep brain stimulation-related complications and propose a diagnostic and therapeutic algorithm. Our aim is to provide a guide for clinicians and medical staff involved in the treatment of patients with deep brain stimulation for rapid recognition and efficient management of these complications.

Publication types

  • Review
  • Comment

MeSH terms

  • Deep Brain Stimulation / adverse effects*
  • Hemorrhage / etiology*
  • Humans
  • Microelectrodes*