Battery life following pallidal deep brain stimulation (DBS) in children and young people with severe primary and secondary dystonia

Childs Nerv Syst. 2012 Jul;28(7):1091-7. doi: 10.1007/s00381-012-1728-6. Epub 2012 Mar 18.

Abstract

Background: The finite life of non-rechargeable batteries powering implantable pulse generators (IPG) necessitates their periodic replacement. Children receiving deep brain stimulation (DBS) may require frequent battery changes over their treatment lifetime.

Objectives: We aimed to determine the battery life of IPGs used in pallidal DBS for the treatment of dystonia in children and young people.

Methods: We make use of a review of case notes of all children and young people undergoing DBS surgery at our institution from June 2005 to May 2010.

Results: A total of 54 children and young people underwent surgery on at least one occasion, with a total of 76 IPGs implanted. Replacement IPGs due to battery failure were required in 15 out of 54 (27.8%). The average time to battery failure was 24.5 ± 2.9 months (95% confidence interval), with a range of 13-39 months. Battery life was significantly longer in primary compared to subsequent IPGs. No difference in longevity was seen between different IPG devices.

Conclusions: IPG battery life may be short in children and young people receiving treatment for dystonia. These findings highlight the potential benefits of the recently introduced rechargeable neurostimulators.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Deep Brain Stimulation / instrumentation*
  • Deep Brain Stimulation / methods*
  • Dystonia / therapy*
  • Electric Power Supplies*
  • Electrodes, Implanted
  • Female
  • Follow-Up Studies
  • Functional Laterality
  • Globus Pallidus / physiology*
  • Humans
  • Male
  • Retrospective Studies
  • Time Factors
  • Treatment Outcome