Surgical treatment for secondary dystonia.
Identifieur interne : 000B98 ( Main/Exploration ); précédent : 000B97; suivant : 000B99Surgical treatment for secondary dystonia.
Auteurs : Travis S. Tierney [États-Unis] ; Andres M. LozanoSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2012.
English descriptors
- KwdEn :
- MESH :
- chemical , pharmacology : Baclofen, Botulinum Toxins.
- drug effects : Basal Ganglia, Globus Pallidus.
- methods : Denervation, Neurosurgery.
- physiology : Basal Ganglia, Globus Pallidus.
- therapy : Dystonic Disorders.
- Humans.
Abstract
Surgical therapy for the secondary dystonias is generally perceived to be less effective than for primary disease. However, a number of case reports and small open series have recently appeared describing quite favorable outcomes following surgery for some nonprimary dystonias. We discuss surgical treatment options for this group of diverse conditions, including tardive dystonia, dystonic cerebral palsy, and certain heredodegenerative diseases in which deep brain stimulation and ablative lesions of the posteroventral pallidum have been shown to be effective. Other types of secondary dystonia respond less well to pallidal surgery, particularly when anatomical lesions of the basal ganglia are prominent on preoperative imaging. For these conditions, central baclofen delivery and botulinum toxin denervation may be considered. With optimal medical and surgical care, some patients with secondary dystonia have achieved reductions in disability and pain that approach those documented for primary dystonia.
DOI: 10.1002/mds.25204
PubMed: 23037556
Affiliations:
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Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Surgical treatment for secondary dystonia.</title><author><name sortKey="Tierney, Travis S" sort="Tierney, Travis S" uniqKey="Tierney T" first="Travis S" last="Tierney">Travis S. Tierney</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, Brigham and Women's Hospital, Boston, Massachusetts</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Lozano, Andres M" sort="Lozano, Andres M" uniqKey="Lozano A" first="Andres M" last="Lozano">Andres M. Lozano</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="doi">10.1002/mds.25204</idno><idno type="RBID">pubmed:23037556</idno><idno type="pmid">23037556</idno><idno type="wicri:Area/PubMed/Corpus">000C16</idno><idno type="wicri:Area/PubMed/Curation">000C16</idno><idno type="wicri:Area/PubMed/Checkpoint">000C11</idno><idno type="wicri:Area/Ncbi/Merge">003846</idno><idno type="wicri:Area/Ncbi/Curation">003846</idno><idno type="wicri:Area/Ncbi/Checkpoint">003846</idno><idno type="wicri:Area/Main/Merge">000C04</idno><idno type="wicri:Area/Main/Curation">000B98</idno><idno type="wicri:Area/Main/Exploration">000B98</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Surgical treatment for secondary dystonia.</title><author><name sortKey="Tierney, Travis S" sort="Tierney, Travis S" uniqKey="Tierney T" first="Travis S" last="Tierney">Travis S. Tierney</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, Brigham and Women's Hospital, Boston, Massachusetts</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Lozano, Andres M" sort="Lozano, Andres M" uniqKey="Lozano A" first="Andres M" last="Lozano">Andres M. Lozano</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Baclofen (pharmacology)</term><term>Basal Ganglia (drug effects)</term><term>Basal Ganglia (physiology)</term><term>Botulinum Toxins (pharmacology)</term><term>Denervation (methods)</term><term>Dystonic Disorders (therapy)</term><term>Globus Pallidus (drug effects)</term><term>Globus Pallidus (physiology)</term><term>Humans</term><term>Neurosurgery (methods)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en"><term>Baclofen</term><term>Botulinum Toxins</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Basal Ganglia</term><term>Globus Pallidus</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Denervation</term><term>Neurosurgery</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Basal Ganglia</term><term>Globus Pallidus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Dystonic Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Surgical therapy for the secondary dystonias is generally perceived to be less effective than for primary disease. However, a number of case reports and small open series have recently appeared describing quite favorable outcomes following surgery for some nonprimary dystonias. We discuss surgical treatment options for this group of diverse conditions, including tardive dystonia, dystonic cerebral palsy, and certain heredodegenerative diseases in which deep brain stimulation and ablative lesions of the posteroventral pallidum have been shown to be effective. Other types of secondary dystonia respond less well to pallidal surgery, particularly when anatomical lesions of the basal ganglia are prominent on preoperative imaging. For these conditions, central baclofen delivery and botulinum toxin denervation may be considered. With optimal medical and surgical care, some patients with secondary dystonia have achieved reductions in disability and pain that approach those documented for primary dystonia.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><noCountry><name sortKey="Lozano, Andres M" sort="Lozano, Andres M" uniqKey="Lozano A" first="Andres M" last="Lozano">Andres M. Lozano</name></noCountry><country name="États-Unis"><region name="Massachusetts"><name sortKey="Tierney, Travis S" sort="Tierney, Travis S" uniqKey="Tierney T" first="Travis S" last="Tierney">Travis S. Tierney</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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