Posttraumatic peripherally-induced dystonia and multifocal deep brain stimulation:: Case report

被引：15

作者：

Capelle, Hans-Holger ^{[1
]}

Grips, Eva

Weigel, Ralf

Blahak, Christian

Hansjoerg, Baezner

Wohrle, Johannes C.

Krauss, Joachim K.

机构：

[1] Hannover Med Sch, Dept Neurosurg, D-3000 Hannover, Germany

[2] Univ Hosp, Klinikum Mannheim, Dept Neurosurg, Mannheim, Germany

[3] Univ Hosp, Klinikum Mannheim, Dept Neurol, Mannheim, Germany

来源：

NEUROSURGERY | 2006年 / 59卷 / 03期

关键词：

deep brain stimulation; dystonia; pallidum; thalamus; trauma;

D O I：

10.1227/01.NEU.0000229000.28373.95

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

OBJECTIVE: We report on the effect of multifocal deep brain stimulation for the treatment of posttraumatic peripherally-induced dystonia. CLINICAL PRESENTATION: A 34-year-old woman presented with an 8-year history of painful tonic dystonia starling in her left leg after injury of the third metatarsal bone. She did not benefit from right-sided pallidal stimulation by an electrode misplaced in the globus pallidus externus in another hospital. INTERVENTION: Quadripolar deep brain stimulation electrodes were placed in the globus pallidus internus and the ventrolateral thalamus by computed tomographic-guided stereotactic surgery and microelectrocle recording contralateral to the side of dystonia. The Burke-Fahn-Marsden motor score of 34 did not improve with chronic pallidal or thalamic stimulation. CONCLUSION: Although deep brain stimulation is received with great enthusiasm, it is important to identify its limitations in certain subtypes of dystonia.

引用

页码：702 / 702

页数：1

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