A case of symptomatic hemidystonia improved by ventroposterolateral thalamic electrostimulation
Identifieur interne : 005E34 ( Main/Exploration ); précédent : 005E33; suivant : 005E35A case of symptomatic hemidystonia improved by ventroposterolateral thalamic electrostimulation
Auteurs : François Sellal [France] ; Edouard Hirsch [France] ; Pascal Barth [France] ; Serge Blond [France] ; Marescaux [France]Source :
- Movement Disorders [ 0885-3185 ] ; 1993.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adolescent, Case study, Cerebrovascular Circulation, Diagnosis, Dystonia, Dystonia (diagnosis), Dystonia (physiopathology), Electric, Electric Stimulation Therapy, Electrical stimulus, Functional Laterality, Hemidystonia, Human, Humans, Instrumentation therapy, Magnetic Resonance Imaging, Male, Neurologic Examination, Stereotaxy, Stimulation, Thalamic Diseases (complications), Thalamic Diseases (diagnosis), Thalamic Diseases (physiopathology), Thalamic Diseases (therapy), Thalamic lesion, Thalamus, Thalamus (blood supply), Thalamus (physiopathology), Thalamus (radiography), Thalamus neurostimulation, Treatment, Unilateral.
- MESH :
- blood supply : Thalamus.
- complications : Thalamic Diseases.
- diagnosis : Dystonia, Thalamic Diseases.
- physiopathology : Dystonia, Thalamic Diseases, Thalamus.
- radiography : Thalamus.
- therapy : Thalamic Diseases.
- Adolescent, Cerebrovascular Circulation, Electric Stimulation Therapy, Functional Laterality, Humans, Magnetic Resonance Imaging, Male, Neurologic Examination.
Abstract
A 16‐year‐old boy presented with a left anterothalamic lesion secondary to an extradural hematoma. A few months later, a right hemidytonia developed. The dystonic posture, which predominated in the right hand, was not associated with any motor deficit or sensory loss. Superficial sensory stimulation of the right palm and forearm and proprioceptive stimuli induced by passive movements of the right thumb decreased the dystonic posture. Electrical stimulation of the left ventroposterolateral nucleus of the thalamus induced a dramatic inprovement in the dystonic postures and movement of the upper right limb. This finding suggests that the role of tactile and proprioceptive stimulation should be analyzed in patients presenting with a symptomatic hemidystonia. When such sensory stimulation is effective, thalamic stimulation may be tried in patients whose condition is incapacitating.
Url:
DOI: 10.1002/mds.870080418
Affiliations:
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Le document en format XML
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<term>Case study</term>
<term>Cerebrovascular Circulation</term>
<term>Diagnosis</term>
<term>Dystonia</term>
<term>Dystonia (diagnosis)</term>
<term>Dystonia (physiopathology)</term>
<term>Electric</term>
<term>Electric Stimulation Therapy</term>
<term>Electrical stimulus</term>
<term>Functional Laterality</term>
<term>Hemidystonia</term>
<term>Human</term>
<term>Humans</term>
<term>Instrumentation therapy</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Neurologic Examination</term>
<term>Stereotaxy</term>
<term>Stimulation</term>
<term>Thalamic Diseases (complications)</term>
<term>Thalamic Diseases (diagnosis)</term>
<term>Thalamic Diseases (physiopathology)</term>
<term>Thalamic Diseases (therapy)</term>
<term>Thalamic lesion</term>
<term>Thalamus</term>
<term>Thalamus (blood supply)</term>
<term>Thalamus (physiopathology)</term>
<term>Thalamus (radiography)</term>
<term>Thalamus neurostimulation</term>
<term>Treatment</term>
<term>Unilateral</term>
</keywords>
<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Thalamus</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Thalamic Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dystonia</term>
<term>Thalamic Diseases</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dystonia</term>
<term>Thalamic Diseases</term>
<term>Thalamus</term>
</keywords>
<keywords scheme="MESH" qualifier="radiography" xml:lang="en"><term>Thalamus</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Thalamic Diseases</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Cerebrovascular Circulation</term>
<term>Electric Stimulation Therapy</term>
<term>Functional Laterality</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Neurologic Examination</term>
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<term>Dystonie</term>
<term>Electrique</term>
<term>Etude cas</term>
<term>Homme</term>
<term>Stimulation</term>
<term>Stimulus électrique</term>
<term>Thalamus</term>
<term>Traitement</term>
<term>Traitement instrumental</term>
<term>Unilatéral</term>
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<front><div type="abstract" xml:lang="en">A 16‐year‐old boy presented with a left anterothalamic lesion secondary to an extradural hematoma. A few months later, a right hemidytonia developed. The dystonic posture, which predominated in the right hand, was not associated with any motor deficit or sensory loss. Superficial sensory stimulation of the right palm and forearm and proprioceptive stimuli induced by passive movements of the right thumb decreased the dystonic posture. Electrical stimulation of the left ventroposterolateral nucleus of the thalamus induced a dramatic inprovement in the dystonic postures and movement of the upper right limb. This finding suggests that the role of tactile and proprioceptive stimulation should be analyzed in patients presenting with a symptomatic hemidystonia. When such sensory stimulation is effective, thalamic stimulation may be tried in patients whose condition is incapacitating.</div>
</front>
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<tree><country name="France"><noRegion><name sortKey="Sellal, Francois" sort="Sellal, Francois" uniqKey="Sellal F" first="François" last="Sellal">François Sellal</name>
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<name sortKey="Barth, Pascal" sort="Barth, Pascal" uniqKey="Barth P" first="Pascal" last="Barth">Pascal Barth</name>
<name sortKey="Blond, Serge" sort="Blond, Serge" uniqKey="Blond S" first="Serge" last="Blond">Serge Blond</name>
<name sortKey="Hirsch, Edouard" sort="Hirsch, Edouard" uniqKey="Hirsch E" first="Edouard" last="Hirsch">Edouard Hirsch</name>
<name sortKey="Marescaux" sort="Marescaux" uniqKey="Marescaux" last="Marescaux">Marescaux</name>
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