ISSN 1300-7157 Anasayfa | İletişim      

Cilt : 26      Sayı : 3       Yıl: 2020

[Epilepsi]
Epilepsi. Baskıdaki Makaleler: JTES-48344 | DOI: 10.14744/epilepsi.2020.48344  

Treatment of vagus nerve stimulator pocket infection without removal of the hardware

Martin Blaha, Michal Tichy
Department of Neurosurgery, University Hospital Motol, Second Medical Faculty, Charles University, Prague, Czech Republic

Management of postoperative pocket infections after vagus nerve stimulator implantation is challenging. The majority of patients present within 4 weeks after implantation of the device and Staphylococcus aureus is the most common infecting agent. Standard medical practice involves complete hardware removal and antibiotics to achieve long term cure with subsequent reimplantation of device. Attempts to treat infections without removal of the hardware bring high rate of infection recurrence also due to the formation of staphylococcal biofilms on the device. We present the case of vagus nerve stimulator infection treated successfully without the hardware removal with single surgical debridement of the infected wound and six weeks of antibiotic treatment.

Keywords: Vagus nerve stimulation, Epilepsy, Epilepsy Surgery, Infection, Biofilms, Rifampicin




Sorumlu Yazar: Martin Blaha, Czech Republic


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