Table 6.
Prevalences of DBS Adverse Events, Reported in Meta-Analyses Published 2022- March 2025
| Adverse Event | % Prevalence (n) | Short Term Effects (n) | Chronic Effects (n) | Study Identifier |
|---|---|---|---|---|
| Intracerebral Hemorrhage | 0.6% (5) | “aphasia, speech initiation disorder, dysarthria, central facial palsy, paresis of the left hand, frontal lobe syndrome, delirium, and cognitive decline” | hemiparesis (2), cognitive disorder (1), diplopia (1), dysarthria (1), balance disorder (1) | [133] |
| 0.8% (3) | death (11) | [134] | ||
| 1.3% (7) | hemiparesis (5), abandoned procedure (2) |
residual hemiparesis (1) | [135] | |
| 2.9% (379) | [136] | |||
| Intraventricular hemorrhage | 1.05% (1) | [137] | ||
| Subdural Hematoma | 0.52% (2) | surgical drainage (2) | [138] | |
| 1.05% (1) | [137] | |||
| Cerebral Edema | 1.6% (13) | “cognitive decline, dysarthria, apraxia, speech difficulties, apathy, confusion, and delirium… seizures” | “mild cognitive impairment” (1) | [133] |
| 3.74% (51) | “headache, nausea, confusion, a decline in cognitive function, mood changes, aphasia, disorientation”” | “gait instability, muscle strength loss/paralysis, and epilepsy” | [140] | |
| Infection | 2.66% (14) | [137] | ||
| 2.95% (22) | antibiotics (22), skin erosion/granulation tissue (19), full system explantation with replacement (2), partial system explantation (5), IPG explant (5) |
full system explanation with no replacement (7) | [135] | |
| 3.4% (27) | antibiotics, removal and re-implantation | [133] | ||
| 6.67% | [146] | |||
| 9.95% (20) | IV antibiotics (14), wound revision (7), partial hardware removal (12) |
[138] | ||
| 10.1% (36) | [134] | |||
| Skin Erosion | 1.7% (6) | [134] | ||
| Lead Fracture | 0.39% (2) | extension wire replacement (2) | [135] | |
| Lead Migration | 0.52% (2) | surgical “revision” (2) | [138] | |
| 2.1% (17) | [133] |