Movement Disorders (revue)

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Life‐threatening dystonia–dyskinesias in a child: Successful treatment with bilateral pallidal stimulation

Identifieur interne : 003947 ( Istex/Corpus ); précédent : 003946; suivant : 003948

Life‐threatening dystonia–dyskinesias in a child: Successful treatment with bilateral pallidal stimulation

Auteurs : Lucia Angelini ; Nardo Nardocci ; Margherita Estienne ; Chiara Conti ; Ivano Dones ; Giovanni Broggi

Source :

RBID : ISTEX:E6182ED5DFEB2ABD4405F44F80898F66B7D3B038

English descriptors

Abstract

We report a 13‐year‐old boy who developed severe, refractory dystonia–dyskinesias as an abrupt worsening of a previously nonprogressive movement disorder. The movements became continuous, requiring artificial respiration and continuous sedation in the intensive‐care unit. Various drugs and drug combinations failed to achieve control. The child was then treated successfully with bilateral pallidal (GPi) stimulation as shown in the videotape. Four months later and without medication, the boy regained autonomous gait and audible speech; his neurologic condition continues to improve.

Url:
DOI: 10.1002/1531-8257(200009)15:5<1010::AID-MDS1039>3.0.CO;2-5

Links to Exploration step

ISTEX:E6182ED5DFEB2ABD4405F44F80898F66B7D3B038

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<p>We report a 13‐year‐old boy who developed severe, refractory dystonia–dyskinesias as an abrupt worsening of a previously nonprogressive movement disorder. The movements became continuous, requiring artificial respiration and continuous sedation in the intensive‐care unit. Various drugs and drug combinations failed to achieve control. The child was then treated successfully with bilateral pallidal (GPi) stimulation as shown in the videotape. Four months later and without medication, the boy regained autonomous gait and audible speech; his neurologic condition continues to improve.</p>
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<title>Life‐threatening dystonia–dyskinesias in a child: Successful treatment with bilateral pallidal stimulation</title>
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<title>Pallidal Stimulation in Intractable Dystonia</title>
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<title>Life‐threatening dystonia–dyskinesias in a child: Successful treatment with bilateral pallidal stimulation</title>
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<namePart type="given">Lucia</namePart>
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<affiliation>Departments of Neuropediatrics and Neurosurgery, National Neurological Institute “C. Besta,” Milan, Italy</affiliation>
<description>Correspondence: Department of Neuropediatrics, National Neurological Institute “C. Besta,” Via Celoria 11, 20133 Milan, Italy</description>
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<namePart type="family">Nardocci</namePart>
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<affiliation>Departments of Neuropediatrics and Neurosurgery, National Neurological Institute “C. Besta,” Milan, Italy</affiliation>
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<abstract lang="en">We report a 13‐year‐old boy who developed severe, refractory dystonia–dyskinesias as an abrupt worsening of a previously nonprogressive movement disorder. The movements became continuous, requiring artificial respiration and continuous sedation in the intensive‐care unit. Various drugs and drug combinations failed to achieve control. The child was then treated successfully with bilateral pallidal (GPi) stimulation as shown in the videotape. Four months later and without medication, the boy regained autonomous gait and audible speech; his neurologic condition continues to improve.</abstract>
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<topic>Deep brain stimulation</topic>
<topic>Pallidal stimulation</topic>
<topic>Refractory dystonia</topic>
<topic>Refractory dyskinesia</topic>
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<title>Mov. Disord.</title>
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<topic>Brief Report</topic>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
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<date>2000</date>
<detail type="volume">
<caption>vol.</caption>
<number>15</number>
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<detail type="issue">
<caption>no.</caption>
<number>5</number>
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<start>1010</start>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2000 Movement Disorder Society</accessCondition>
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