Combined pallidal and subthalamic nucleus stimulation in sporadic dystonia-parkinsonism Case report

被引：11

作者：

Woehrle, Johannes C. ^{[2
]}

Blahak, Christian ^{[2
]}

Capelle, Hans-Holger ^{[1
]}

Fogel, Wolfgang ^{[3
]}

Baezner, Hansjoerg ^{[2
]}

Krauss, Joachim K. ^{[1
]}

机构：

[1] Hannover Med Sch, Dept Neurosurg, MHH, D-30652 Hannover, Germany

[2] Univ Hosp Mannheim, Dept Neurol, Mannheim, Germany

[3] Stiftung Deutsch Klin Diagnost, Dept Neurol, Wiesbaden, Germany

来源：

JOURNAL OF NEUROSURGERY | 2012年 / 116卷 / 01期

关键词：

pallidum; subthalamic nucleus; deep brain stimulation; dystonia-parkinsonism; functional neurosurgery; DEEP-BRAIN-STIMULATION; QUALITY-OF-LIFE; GLOBUS-PALLIDUS; SEGMENTAL DYSTONIA; CERVICAL DYSTONIA; TARDIVE DYSTONIA; FOLLOW-UP; DISEASE; INTERNUS; LUBAG;

D O I：

10.3171/2011.8.JNS101552

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Multifocal deep brain stimulation (DBS) is a new technique that has been introduced recently. A 39-year-old man with dystonia-parkinsonism underwent the simultaneous implantation of subthalamic nucleus (STN) and globus pallidus internus (GPi) DBS electrodes. While bilateral STN DBS controlled the parkinsonian symptoms well and allowed for a reduction in levodopa, the improvement of dystonia was only temporary. Additional GPi DBS also alleviated dystonic symptoms. Formal assessment at the 1-year follow-up showed that both the parkinsonian symptoms and the dystonia were markedly improved via continuous bilateral combined STN and GPi stimulation. Sustained benefit was achieved at 3 years postoperatively. (DOI: 10.3171/2011.8.JNS101552)

引用

页码：95 / 98

页数：4

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