Review Article

Outcomes and Adverse Effects of Deep Brain Stimulation on the Ventral Intermediate Nucleus in Patients with Essential Tremor

Table 4

Summary of all adverse effects.

StudyAdverse event
StimulationSurgicalDevice

Hubble J.P. et al. 1996Paresthesia (10), dysarthria (1), headache (2), face-arm pain (1), right-sided weakness (3), face weakness (1), decreased range of motion left shoulder(1)00
Koller W.C et al. 1999Mild paresthesia (24), mild headache (9), mild dysarthria (7), mild paresis (6), attention/cognitive deficits (2), gait disorder (2), facial weakness (2), dystonia (1), hypophonia (1), nausea (1), mild depression (1), dizziness (1)Subdural hematoma (1), intraparenchymal hemorrhage (1), asymptomatic bleeds (3), seizures (1)Loss of effect (8), lead replacement (2), devices explanted (2), reprogrammed (1), broken lead (1), lead extension replacements (2), IPG replacement (1)
Taha J M. et al. 1999Disequilibrium (7), mild short-term memory loss (1), mild shock (4), dysarthria (7)00
Koller W.C et al. 2001Paresthesia (21), headache (15), paresis (6), dysarthria (4), nausea (4), disequilibrium (3), facial weakness (3), gait disorder (2), dystonia (2), mild attention/cognitive deficit (2), dizziness (2), hypophonia (1), anxiety (1), depression (1), syncope (1), vomiting (1), shocking sensation (1), drooling (1)Asymptomatic bleeds (3), postoperative seizures (1)Lead replacement (7), lead reposition (3), extension wire replaced (3), IPG replaced (4), entire system explanted (1)
Ondo et al. 2001Paresthesia (3), headache (5), dysarthria (7), neck pain (2), mouth pain (1), increased saliva (1), balance and gait difficulty (10)00
Pahwa R et al. 2001Headache (9), paresthesia (10), dysarthria (1), disequilibrium (1), dizziness (2)Seizures (1)0
Rehncrona S et al. 200300Lead fracture (1)
Lee J Y.K. et al. 2005Hand tingling (3)Temporary erythema of the incision (1)Lead fracture (1), electrode migration (1)
Kuncel A.M et al. 2006Dysarthria (9), posturing (7), jaw deviation (3), eye closure (2), voice affected (2)00
Blomstedt et al. 200700IPG exchange (12), lead fracture (6)
Törnqvist A. L et al. 20070Infections (2)Lead fracture (1)
Ellis TM et al. 200800Lead fracture (1), lead migrated (1)
Lind G et al. 2008Speech disorder (3), balance and gait difficult (2)Infections (2)Battery replacement (6)
Blomstedt et al. 2010Aphasia (8), clumsy (1)00
Baizabal Carvallo JF et al. 20120Infections (3)Misplacements (4), migrations (5), fractures (5)
Zahos P.A. et al. 20130Wound dehiscence (2)Lead fracture (1)
Carballal C.F. et al. 2013Headache (9), paresthesia (6), dysarthria (17), dizziness (5), reduced balance (4)Infections (1)0
Borretzen M.N. et al. 2014Dysarthria (17), headache (9), paresthesia (6), abnormal taste (8), dizziness (5), discomfort tongue (4), reduced balance or coordination (4)00
Baizabal Carvallo JF et al. 2014Incoordination (7), dysarthria (6)0Vasovagal reaction (1)
Hariz G-M et al. 2015Headache (1), voice affected (5), deterioration of balance (4), tiredness (1), tearful (1), felt discomfort (1)00
Verla T. et al.20150Hemorrhagic complication (10), infection (20), pulmonary embolism (4), pneumonia (16)Lead revision (2), generator revision (7)
Sharma V.D et al. 2015Incoordination (1), dysarthria (1), paresis (1), asthenia (1), reduced balance (1)00
Silva D et al. 2016Paresis (2), dysarthria (6), transient cognitive alter (1), facial numbness (1)Hemorrhage (1), infections (1)0
Klein J et al. 20170Infections (1)Wound revision (3), electrode dislocation (1)
Wharen R E.et al. 2017Speech disturbances (12), gait/postural disorder (5), cognitive changes (8), dysphagia (2), tinnitus (1), shocking or jolting sensation (3), discomfort (17), headache (8), paresis (1), dystonia (2), dysarthria (1), hemiparesis (1)Seizures (1), intracranial hemorrhage (3), wound dehiscence (4), infections (5), pocket hematoma (2)Misplaced lead (6), IPG malfunction (4), extension malfunction (6), battery check (9)
Barbe M T et al. 2018Right hemiparesis (1), dysarthria (11), aphasia (1), nausea (1)Intracerebral hemorrhage (1)0
Chen T et al. 2018Mental status change (9), speech disturbance (7), balance or gait disturbance (6), speech & balance disturbances (5)Hemorrhage (1), wound breakdown (1)0

The number in brackets means the number of AE events.