Surgical Neurology
Volume 65, Issue 1 , Pages 48-49, January 2006

The use of a sump antibiotic irrigation system to save infected hardware in a patient with a vagal nerve stimulator:

Technical note

Department of Cell Biology, University of Alabama at Birmingham; and Section of Pediatric Neurosurgery, Children's Hospital, Birmingham, AL 35233, USA

Received 14 February 2005; accepted 25 April 2005.

Abstract 

The authors describe the use of a sump irrigation system that was used to successfully treat the battery implantation site of a vagal nerve stimulator (VNS). Irrigation was composed of a dilution of vancomycin in lactated Ringer's solution. At long-term follow up, the patient has not returned with signs or symptoms of wound infection. She continues to effectively combat her epilepsy with VNS. The authors believe this to be the first description of this technique for salvaging an implanted VNS.

Abbreviations: VNS, Vagal nerve stimulation/stimulator

Keywords: Peripheral nerve, Neurosurgery, Neck, Wound, Cranial nerve, Seizures, Treatment

 

PII: S0090-3019(05)00382-4

doi:10.1016/j.surneu.2005.04.045

Surgical Neurology
Volume 65, Issue 1 , Pages 48-49, January 2006