Decúbito
English translation: lead extrusion
| 13:37 Jan 31, 2023 |
| Spanish to English translations [PRO] Medical - Medical (general) / Neurology - Parkinson's/DBS | |||||||
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|  Selected response from: Chema Nieto Castañón Spain Local time: 16:48 | ||||||
Grading comment
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| Summary of answers provided | ||||
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| 4 | electrode migration/displacement |
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| 3 | skin erosion |
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| 3 | lead extrusion |
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| comment |
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| Discussion entries: 5 | |
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Answers
4 hrs confidence: 
skin erosion Explanation: Skin erosion around the DBS extension cable. También se habla de decúbito en marcapasos. Definición de decúbito Considerando decúbito el adelgazamiento de la capa cutánea sobre el generador con adherencia del mismo, con o sin signos inflamatorios locales. https://www.researchgate.net/publication/263511149_Evolucion... In addition, DBS may cause skin erosion and infection because of the subcutaneous placement of a bulky foreign body called an internal pulse generator (IPG) and a long extension. https://www.frontiersin.org/articles/10.3389/fnagi.2022.8197... Skin erosion and infection are common but serious problems in deep brain stimulation (DBS). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208212/ Skin erosion is a common complication after deep brain stimulator procedures. Skin erosion is the loss of epidermis over the implants (leads, internal pulse generator, wires, or extensions), exposing hardware and predisposing to local infections. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8326058/ -------------------------------------------------- Note added at 4 hrs (2023-01-31 18:27:10 GMT) -------------------------------------------------- For example, due to intracranial electrode insertion, DBS can cause intracerebral hemorrhage (ICH). In addition, DBS may cause skin erosion and infection because of the subcutaneous placement of a bulky foreign body called an internal pulse generator (IPG) and a long extension. https://www.frontiersin.org/articles/10.3389/fnagi.2022.8197... |
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14 hrs confidence:
electrode migration/displacement Explanation: Due to displacement of the electrode after trauma. Ref: Despite the best efforts to ensure stereotactic precision, deep brain stimulation (DBS) electrodes can wander from their intended position after implantation. In many cases, the migration occurs before closure of the operative wound and is likely due to an inadvertent movement of the electrode during the procedure. However, several centers reported late migration of electrodes occurring months or years after the initial surgery. Most of these displacements are in the upward direction and are thought to be related to a tenuous attachment of the electrode to the skull that allows the electrode to slide as the head and neck are turned. However, Susatia et al. (12) described a patient with cervical dystonia in which the displacement was in the downward direction and hypothesized that the electrode was driven deeper into the brain by the vigorous dystonic movements. We report a patient with Parkinson disease discovered to have downward electrode migration 10 years after successful implantation. https://www.sciencedirect.com/science/article/abs/pii/S18788... |
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1 day 12 hrs confidence:
| Decúbito cable/electrodo lead extrusion Explanation: Creo que decúbito se refiere específicamente a la extrusión en este caso de un cable del dispositivo implantado que se produce como consecuencia de la erosión progresiva del tejido que rodea inicialmente a la porción extruida. Ver por ejemplo aquí: Decúbito del marcapasos: Consiste en la erosión mecánica del bolsillo subcutáneo donde se aloja el generador o del trayecto subcutáneo de los cables, con la exposición parcial del dispositivo. https://www.google.com/url?sa=t&source=web&rct=j&url=https:/... Así, una cosa sería la erosión aislada, otra el desplazamiento -pej. de la punta del electrodo (de manera que deja de estimular la zona o el núcleo que debe ser estimulado) y otra la extrusión (tras erosión previa del tejido circundante). Curiosamente -lo dejo a título de anécdota- ocasionalmente también aparece en inglés con el mismo sentido: pacemaker decubitus https://www.google.com/url?sa=t&source=web&rct=j&url=https:/... https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1540-8159.... |
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Reference comments
3 hrs peer agreement (net): +1 |
| Reference: comment Reference information: only finding: Electrical stimulation for treating pressure ulcers - Arora, M Cochrane Library · https://www.cochranelibrary.com › full by M Arora · 2020 · Cited by 30 — Pressure ulcers (also known as pressure sores, decubitus ulcers or bedsores) are localised injuries to the skin or underlying tissue, ... ie. electrode-related decubitus ulcer/pressure ulcer you say the patient has had this for three months? cEEG electrode-related pressure ulcers in acutely hospitalized ... Neurology · https://cp.neurology.org › content by LMVR Moura · 2017 · Cited by 10 — Methods: We performed an observational investigation of cEEG-electrode-related pressure ulcers (EERPU) among acutely ill patients over a ... -------------------------------------------------- Note added at 3 heures (2023-01-31 16:47:45 GMT) -------------------------------------------------- Electrodes can injure skin through direct pressure, chemical dermatitis, and local heating when exposed to electromagnetic fields. cEEG-electrode-related pressure ulcers (EERPU) are preventable lesions that increase patient discomfort and risk for infections. |
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