It was reported that the recently implanted vns patient underwent surgery on (b)(6) 2014 to explant his generator and lead.The patient had been scratching at his cervical wound site which subsequently led to extrusion of the electrode.It was noted that the patient had a history of combativeness, aggressiveness, and self-mutilating behavior.The patient went to the er where approximately 6cm of the patient¿s lead was found to be visibly extruding from the approximate 6mm opening of the patient¿s wound.There was no purulence but the patient was sent for surgery due to risk of infection.During explant, granulation tissue was found at the area of dehiscence and a significant amount of scarring was noted within the patient¿s neck.The extruding portion of the patient¿s lead was cut and discarded.Samples were taken for cultures and the patient¿s wound was cleaned and irrigated.The patient has not been re-implanted to date.
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