Surgical Treatment for Secondary Dystonia
Identifieur interne : 000F70 ( Main/Exploration ); précédent : 000F69; suivant : 000F71Surgical Treatment for Secondary Dystonia
Auteurs : Travis S. Tierney [États-Unis] ; Andres M. Lozano [Canada]Source :
- Movement disorders [ 0885-3185 ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
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.
Affiliations:
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Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">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"><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brigham and Women's Hospital</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><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><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Division of Neurosurgery, Toronto Western Hospital</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>2 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Toronto, Ontario</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">13-0017926</idno><date when="2012">2012</date><idno type="stanalyst">PASCAL 13-0017926 INIST</idno><idno type="RBID">Pascal:13-0017926</idno><idno type="wicri:Area/PascalFrancis/Corpus">000042</idno><idno type="wicri:Area/PascalFrancis/Curation">002C72</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000042</idno><idno type="wicri:doubleKey">0885-3185:2012:Tierney T:surgical:treatment:for</idno><idno type="wicri:Area/Main/Merge">001021</idno><idno type="wicri:Area/Main/Curation">000F70</idno><idno type="wicri:Area/Main/Exploration">000F70</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">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"><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brigham and Women's Hospital</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><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><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Division of Neurosurgery, Toronto Western Hospital</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>2 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Toronto, Ontario</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Baclofen</term><term>Bontoxilysin</term><term>Deep brain stimulation</term><term>Dystonia</term><term>Intrathecal</term><term>Nervous system diseases</term><term>Surgery</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Dystonie</term><term>Pathologie du système nerveux</term><term>Chirurgie</term><term>Traitement</term><term>Bontoxilysin</term><term>Intrarachidien</term><term>Baclofène</term><term>Stimulation cérébrale profonde</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</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>Canada</li><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><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><country name="Canada"><noRegion><name sortKey="Lozano, Andres M" sort="Lozano, Andres M" uniqKey="Lozano A" first="Andres M." last="Lozano">Andres M. Lozano</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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