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. 2019 Aug 19;20(1):15–25. doi: 10.1136/practneurol-2018-002075

Table 3.

Complications in the setting of device-aided therapies

Deep-brain stimulation Levodopa-carbidopa intestinal gel Apomorphine
Procedure Surgery Percutaneous endoscopy gastrostomy Subcutaneous infusion
Intracranial haemorrhage
Venous infarction
Pneumoencephalus
Dyskinesia storm
Air embolus
Pneumoperitoneum
Peritonitis
Gastrointestinal haemorrhage
Not described
Device Hardware-related Gastrointestinal pump Pump
Infection of external system
Skin erosions at the level of the neurostimulator
Fracture of extension wire
End of life battery
Accidental stimulator switch off (eg, environmental factors such as magnetic forces)
Breakdown of connexions
Unintentional removal
Obstruction of the intraduodenal tube (eg, kinking)
Pressure ulcers of intraduodenal tube on intestinal wall
Bezoar
Pump dysfunction
Subcutaneous nodules
Pump dysfunction
Treatment Stimulation Levodopa-carbidopa gel Apomorphine
Dyskinesia storm
Gait unsteadiness
Worsening of dysarthria
Behavioural changes, hypomania, depression
Unpredictable offs
Biphasic dyskinesias
Confusion, hallucinations
Malabsorption (B12, B6 vitamin deficiency), polyneuropathy, Guillain-Barré-like syndrome
Nauseas
Hypotension
Daytime somnolence
Confusion, hallucinations
Unpredictable offs
Dyskinesias
Haemolytic anaemia
Eosinophilic syndrome