Hemidystonia Secondary to Thalamic Hemorrhage Treated with GPi Stimulation
Identifieur interne : 003839 ( Main/Merge ); précédent : 003838; suivant : 003840Hemidystonia 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.
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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.
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Hemidystonia Secondary to Thalamic Hemorrhage Treated with GPi Stimulation</title><author><name sortKey="Hamasaki, Tadashi" sort="Hamasaki, Tadashi" uniqKey="Hamasaki T" first="Tadashi" last="Hamasaki">Tadashi Hamasaki</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurosurgery, Kumamoto University Medical School</s1><s2>Honjo, Kumamoto</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Honjo, Kumamoto</wicri:noRegion></affiliation></author><author><name sortKey="Yamada, Kazumichi" sort="Yamada, Kazumichi" uniqKey="Yamada K" first="Kazumichi" last="Yamada">Kazumichi Yamada</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurosurgery, Kumamoto University Medical School</s1><s2>Honjo, Kumamoto</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Honjo, Kumamoto</wicri:noRegion></affiliation></author><author><name sortKey="Kuratsu, Jun Ichi" sort="Kuratsu, Jun Ichi" uniqKey="Kuratsu J" first="Jun-Ichi" last="Kuratsu">Jun-Ichi Kuratsu</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurosurgery, Kumamoto University Medical School</s1><s2>Honjo, Kumamoto</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Honjo, Kumamoto</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">08-0487391</idno><date when="2008">2008</date><idno type="stanalyst">PASCAL 08-0487391 INIST</idno><idno type="RBID">Pascal:08-0487391</idno><idno type="wicri:Area/PascalFrancis/Corpus">001106</idno><idno type="wicri:Area/PascalFrancis/Curation">001C13</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">001231</idno><idno type="wicri:doubleKey">0885-3185:2008:Hamasaki T:hemidystonia:secondary:to</idno><idno type="wicri:Area/Main/Merge">003839</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Hemidystonia Secondary to Thalamic Hemorrhage Treated with GPi Stimulation</title><author><name sortKey="Hamasaki, Tadashi" sort="Hamasaki, Tadashi" uniqKey="Hamasaki T" first="Tadashi" last="Hamasaki">Tadashi Hamasaki</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurosurgery, Kumamoto University Medical School</s1><s2>Honjo, Kumamoto</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Honjo, Kumamoto</wicri:noRegion></affiliation></author><author><name sortKey="Yamada, Kazumichi" sort="Yamada, Kazumichi" uniqKey="Yamada K" first="Kazumichi" last="Yamada">Kazumichi Yamada</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurosurgery, Kumamoto University Medical School</s1><s2>Honjo, Kumamoto</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Honjo, Kumamoto</wicri:noRegion></affiliation></author><author><name sortKey="Kuratsu, Jun Ichi" sort="Kuratsu, Jun Ichi" uniqKey="Kuratsu J" first="Jun-Ichi" last="Kuratsu">Jun-Ichi Kuratsu</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurosurgery, Kumamoto University Medical School</s1><s2>Honjo, Kumamoto</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Honjo, Kumamoto</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="2008">2008</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>Hemorrhage</term><term>Nervous system diseases</term><term>Thalamus</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Pathologie du système nerveux</term><term>Hémorragie</term><term>Traitement</term><term>Thalamus</term></keywords></textClass></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.</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 Ichi" sort="Kuratsu, Jun Ichi" 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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