Hemidystonia secondary to thalamic hemorrhage treated with GPi stimulation
Identifieur interne : 002815 ( Main/Exploration ); précédent : 002814; suivant : 002816Hemidystonia secondary to thalamic hemorrhage treated with GPi stimulation
Auteurs : Tadashi Hamasaki [Japon] ; Kazumichi Yamada [Japon] ; Jun-Ichi Kuratsu [Japon]Source :
- Movement Disorders [ 0885-3185 ] ; 2008-09-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Aged, Cerebral Hemorrhage (complications), Cerebral Hemorrhage (pathology), Dystonic Disorders (etiology), Dystonic Disorders (therapy), Electric Stimulation Therapy (methods), Female, GPi‐DBS, Globus Pallidus (surgery), Hemorrhage, Humans, Male, Middle Aged, Nervous system diseases, Thalamus, Thalamus (pathology), Treatment, secondary hemidystonia, thalamus.
- MESH :
- complications : Cerebral Hemorrhage.
- etiology : Dystonic Disorders.
- methods : Electric Stimulation Therapy.
- pathology : Cerebral Hemorrhage, Thalamus.
- surgery : Globus Pallidus.
- therapy : Dystonic Disorders.
- Aged, Female, Humans, Male, Middle Aged.
Abstract
There have been few reports on the surgical treatment of secondary hemidystonias, most of which are due to basal ganglia stroke or trauma. We present 2 patients with hemidystonia secondary to thalamic hemorrhage whom we successfully treated with unilateral globus pallidus internus (GPi) stimulation. Case 1 is a 56‐year‐old man with abnormal posturing and intolerable muscle contraction pain in the left arm. Case 2 is a 73‐year‐old woman who developed severe abnormal posturing in the right arm and gait disturbance due to hyperextension of the right leg. The dystonic symptoms of both patients were refractory to medication. Three months after the inception of high frequency GPi stimulation, the motor scores on the Burke‐Fahn‐Marsden Dystonia Rating Scale were improved by 49.2% and 34.3% in Cases 1 and 2, respectively. We suggest GPi stimulation as a possible alternative to treat secondary hemidystonia. © 2008 Movement Disorder Society
Url:
DOI: 10.1002/mds.22183
Affiliations:
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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="2008-09-15">2008-09-15</date><biblScope unit="vol">23</biblScope><biblScope unit="issue">12</biblScope><biblScope unit="page" from="1762">1762</biblScope><biblScope unit="page" to="1766">1766</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">02514EC33C9459B4694A5D7E20E70E886D425C52</idno><idno type="DOI">10.1002/mds.22183</idno><idno type="ArticleID">MDS22183</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Cerebral Hemorrhage (complications)</term><term>Cerebral Hemorrhage (pathology)</term><term>Dystonic Disorders (etiology)</term><term>Dystonic Disorders (therapy)</term><term>Electric Stimulation Therapy (methods)</term><term>Female</term><term>GPi‐DBS</term><term>Globus Pallidus (surgery)</term><term>Hemorrhage</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Nervous system diseases</term><term>Thalamus</term><term>Thalamus (pathology)</term><term>Treatment</term><term>secondary hemidystonia</term><term>thalamus</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Cerebral Hemorrhage</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dystonic Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electric Stimulation Therapy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Cerebral Hemorrhage</term><term>Thalamus</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><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>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Hémorragie</term><term>Pathologie du système nerveux</term><term>Thalamus</term><term>Traitement</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There have been few reports on the surgical treatment of secondary hemidystonias, most of which are due to basal ganglia stroke or trauma. We present 2 patients with hemidystonia secondary to thalamic hemorrhage whom we successfully treated with unilateral globus pallidus internus (GPi) stimulation. Case 1 is a 56‐year‐old man with abnormal posturing and intolerable muscle contraction pain in the left arm. Case 2 is a 73‐year‐old woman who developed severe abnormal posturing in the right arm and gait disturbance due to hyperextension of the right leg. The dystonic symptoms of both patients were refractory to medication. Three months after the inception of high frequency GPi stimulation, the motor scores on the Burke‐Fahn‐Marsden Dystonia Rating Scale were improved by 49.2% and 34.3% in Cases 1 and 2, respectively. We suggest GPi stimulation as a possible alternative to treat secondary hemidystonia. © 2008 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Hamasaki, Tadashi" sort="Hamasaki, Tadashi" uniqKey="Hamasaki T" first="Tadashi" last="Hamasaki">Tadashi Hamasaki</name></noRegion><name sortKey="Kuratsu, Jun Chi" sort="Kuratsu, Jun Chi" uniqKey="Kuratsu J" first="Jun-Ichi" last="Kuratsu">Jun-Ichi Kuratsu</name><name sortKey="Yamada, Kazumichi" sort="Yamada, Kazumichi" uniqKey="Yamada K" first="Kazumichi" last="Yamada">Kazumichi Yamada</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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