Improvement of severe trunk spasms by bilateral high‐frequency stimulation of the motor thalamus in a patient with chorea‐acanthocytosis
Identifieur interne : 004431 ( Main/Exploration ); précédent : 004430; suivant : 004432Improvement of severe trunk spasms by bilateral high‐frequency stimulation of the motor thalamus in a patient with chorea‐acanthocytosis
Auteurs : Pierre Burbaud [France] ; Alain Rougier [France] ; Xavier Ferrer [France] ; Dominique Guehl [France] ; E. Cuny [France] ; Pierre Arne [France] ; Ch. Gross [France] ; B. Bioulac [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2002-01.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Adulte.
English descriptors
- KwdEn :
- Acanthocytosis, Adult, Bilateral, Case study, Chorea, Chorea (complications), Dystonia, Electric Stimulation Therapy (methods), Electrical stimulus, Electrodes, Implanted, Electromyography, Evolution, High frequency, Humans, Instrumentation therapy, Male, Muscle, Skeletal (physiopathology), Prognosis, Refractory, Severity of Illness Index, Spasm (diagnosis), Spasm (etiology), Spasm (therapy), Thalamus, Thalamus (surgery), Trunk, Videotape Recording.
- MESH :
- complications : Chorea.
- diagnosis : Spasm.
- etiology : Spasm.
- methods : Electric Stimulation Therapy.
- physiopathology : Muscle, Skeletal.
- surgery : Thalamus.
- therapy : Spasm.
- Adult, Electrodes, Implanted, Electromyography, Humans, Male, Severity of Illness Index, Videotape Recording.
Abstract
We report on a patient with a severe form of chorea‐acanthocytosis, intractable to medical treatment, who benefited from bilateral high‐frequency stimulation (HFS) of the posterior ventral oral nucleus of the thalamus. The frequency of trunk spasms dramatically decreased after surgery and the clinical benefit remained stable 1 year later. However, no clear effect was observed on dysarthria nor on hypotonia, which always impaired gait. We propose that HFS of the motor thalamus is a potential treatment for choreic or truncal dystonic symptoms whenever hypotonia is not the main feature of the syndrome. © 2001 Movement Disorder Society
Url:
DOI: 10.1002/mds.1260
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acanthocytosis</term>
<term>Adult</term>
<term>Bilateral</term>
<term>Case study</term>
<term>Chorea</term>
<term>Chorea (complications)</term>
<term>Dystonia</term>
<term>Electric Stimulation Therapy (methods)</term>
<term>Electrical stimulus</term>
<term>Electrodes, Implanted</term>
<term>Electromyography</term>
<term>Evolution</term>
<term>High frequency</term>
<term>Humans</term>
<term>Instrumentation therapy</term>
<term>Male</term>
<term>Muscle, Skeletal (physiopathology)</term>
<term>Prognosis</term>
<term>Refractory</term>
<term>Severity of Illness Index</term>
<term>Spasm (diagnosis)</term>
<term>Spasm (etiology)</term>
<term>Spasm (therapy)</term>
<term>Thalamus</term>
<term>Thalamus (surgery)</term>
<term>Trunk</term>
<term>Videotape Recording</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Chorea</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Spasm</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Spasm</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electric Stimulation Therapy</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Muscle, Skeletal</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Thalamus</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Spasm</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Electrodes, Implanted</term>
<term>Electromyography</term>
<term>Humans</term>
<term>Male</term>
<term>Severity of Illness Index</term>
<term>Videotape Recording</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Acanthocytose</term>
<term>Adulte</term>
<term>Bilatéral</term>
<term>Chorée syndrome</term>
<term>Dystonie</term>
<term>Etude cas</term>
<term>Evolution</term>
<term>Haute fréquence</term>
<term>Mâle</term>
<term>Pronostic</term>
<term>Réfractaire</term>
<term>Stimulus électrique</term>
<term>Thalamus</term>
<term>Traitement instrumental</term>
<term>Tronc</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term>
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<front><div type="abstract" xml:lang="en">We report on a patient with a severe form of chorea‐acanthocytosis, intractable to medical treatment, who benefited from bilateral high‐frequency stimulation (HFS) of the posterior ventral oral nucleus of the thalamus. The frequency of trunk spasms dramatically decreased after surgery and the clinical benefit remained stable 1 year later. However, no clear effect was observed on dysarthria nor on hypotonia, which always impaired gait. We propose that HFS of the motor thalamus is a potential treatment for choreic or truncal dystonic symptoms whenever hypotonia is not the main feature of the syndrome. © 2001 Movement Disorder Society</div>
</front>
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<tree><country name="France"><noRegion><name sortKey="Burbaud, Pierre" sort="Burbaud, Pierre" uniqKey="Burbaud P" first="Pierre" last="Burbaud">Pierre Burbaud</name>
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<name sortKey="Gross, Ch" sort="Gross, Ch" uniqKey="Gross C" first="Ch." last="Gross">Ch. Gross</name>
<name sortKey="Guehl, Dominique" sort="Guehl, Dominique" uniqKey="Guehl D" first="Dominique" last="Guehl">Dominique Guehl</name>
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