Neurosurgical treatment of tremor in mitochondrial encephalopathy
Identifieur interne : 003322 ( Main/Exploration ); précédent : 003321; suivant : 003323Neurosurgical treatment of tremor in mitochondrial encephalopathy
Auteurs : Norbert Kovacs [Hongrie] ; Endre Pal [Hongrie] ; Istvan Balas [Hongrie] ; Jozsef Janszky [Hongrie] ; Ferenc Nagy [Hongrie] ; Hajnalka Merkli [Hongrie]Source :
- Movement Disorders [ 0885-3185 ] ; 2006-12.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
- Deep brain stimulation, Electric Stimulation Therapy (methods), Female, Humans, Magnetic Resonance Imaging (methods), Middle Aged, Mitochondrial Encephalomyopathies (complications), Mitochondrial Encephalomyopathies (pathology), Mitochondrial Encephalomyopathies (surgery), Mitochondrial encephalopathy, Nervous system diseases, Neurosurgical Procedures (methods), Surgery, Thalamotomy, Treatment, Tremor, Tremor (etiology), Tremor (pathology), Tremor (surgery), deep brain stimulation, mitochondrial encephalopathy, thalamotomy, tremor.
- MESH :
- complications : Mitochondrial Encephalomyopathies.
- etiology : Tremor.
- methods : Electric Stimulation Therapy, Magnetic Resonance Imaging, Neurosurgical Procedures.
- pathology : Mitochondrial Encephalomyopathies, Tremor.
- surgery : Mitochondrial Encephalomyopathies, Tremor.
- Female, Humans, Middle Aged.
Abstract
A 53‐year‐old woman underwent several ischemic stroke‐like episodes and later developed incomplete, bilateral ophthalmoplegia, left vision deterioration, and bilateral tremor. The clinical course, laboratory data, and muscle histology led to a diagnosis of mitochondrial encephalomyopathy. No other etiology could be identified in the background of her disabling bilateral postural–kinetic tremor. As this tremor did not respond to pharmacological therapy, left thalamotomy and subsequently right thalamic deep brain stimulator (DBS) implantation were performed, which resulted in an excellent clinical outcome. The Fahn–Tolosa–Marin Tremor Rating Scale improved from 110 to 11 points. This case suggests that the rare tremor caused by mitochondrial encephalopathy may be treated long‐term with either thalamotomy or thalamic DBS implantation. © 2006 Movement Disorder Society
Url:
DOI: 10.1002/mds.21128
Affiliations:
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Le document en format XML
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2006-12">2006-12</date><biblScope unit="vol">21</biblScope><biblScope unit="issue">12</biblScope><biblScope unit="page" from="2227">2227</biblScope><biblScope unit="page" to="2230">2230</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">C797028743EB2151E9AFC862F6C4C458A5B0070B</idno><idno type="DOI">10.1002/mds.21128</idno><idno type="ArticleID">MDS21128</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Deep brain stimulation</term><term>Electric Stimulation Therapy (methods)</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging (methods)</term><term>Middle Aged</term><term>Mitochondrial Encephalomyopathies (complications)</term><term>Mitochondrial Encephalomyopathies (pathology)</term><term>Mitochondrial Encephalomyopathies (surgery)</term><term>Mitochondrial encephalopathy</term><term>Nervous system diseases</term><term>Neurosurgical Procedures (methods)</term><term>Surgery</term><term>Thalamotomy</term><term>Treatment</term><term>Tremor</term><term>Tremor (etiology)</term><term>Tremor (pathology)</term><term>Tremor (surgery)</term><term>deep brain stimulation</term><term>mitochondrial encephalopathy</term><term>thalamotomy</term><term>tremor</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Mitochondrial Encephalomyopathies</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Tremor</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electric Stimulation Therapy</term><term>Magnetic Resonance Imaging</term><term>Neurosurgical Procedures</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Mitochondrial Encephalomyopathies</term><term>Tremor</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Mitochondrial Encephalomyopathies</term><term>Tremor</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Middle Aged</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Chirurgie</term><term>Encéphalopathie mitochondriale</term><term>Stimulation cérébrale profonde</term><term>Système nerveux pathologie</term><term>Thalamotomie</term><term>Traitement</term><term>Tremblement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 53‐year‐old woman underwent several ischemic stroke‐like episodes and later developed incomplete, bilateral ophthalmoplegia, left vision deterioration, and bilateral tremor. The clinical course, laboratory data, and muscle histology led to a diagnosis of mitochondrial encephalomyopathy. No other etiology could be identified in the background of her disabling bilateral postural–kinetic tremor. As this tremor did not respond to pharmacological therapy, left thalamotomy and subsequently right thalamic deep brain stimulator (DBS) implantation were performed, which resulted in an excellent clinical outcome. The Fahn–Tolosa–Marin Tremor Rating Scale improved from 110 to 11 points. This case suggests that the rare tremor caused by mitochondrial encephalopathy may be treated long‐term with either thalamotomy or thalamic DBS implantation. © 2006 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Hongrie</li></country></list><tree><country name="Hongrie"><noRegion><name sortKey="Kovacs, Norbert" sort="Kovacs, Norbert" uniqKey="Kovacs N" first="Norbert" last="Kovacs">Norbert Kovacs</name></noRegion><name sortKey="Balas, Istvan" sort="Balas, Istvan" uniqKey="Balas I" first="Istvan" last="Balas">Istvan Balas</name><name sortKey="Janszky, Jozsef" sort="Janszky, Jozsef" uniqKey="Janszky J" first="Jozsef" last="Janszky">Jozsef Janszky</name><name sortKey="Merkli, Hajnalka" sort="Merkli, Hajnalka" uniqKey="Merkli H" first="Hajnalka" last="Merkli">Hajnalka Merkli</name><name sortKey="Nagy, Ferenc" sort="Nagy, Ferenc" uniqKey="Nagy F" first="Ferenc" last="Nagy">Ferenc Nagy</name><name sortKey="Pal, Endre" sort="Pal, Endre" uniqKey="Pal E" first="Endre" last="Pal">Endre Pal</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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