Movement Disorders (revue)

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Improvement of severe trunk spasms by bilateral high-frequency stimulation of the motor thalamus in a patient with chorea-acanthocytosis

Identifieur interne : 006769 ( Main/Merge ); précédent : 006768; suivant : 006770

Improvement 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]

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RBID : Pascal:02-0207135

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Abstract

We report on a patient with a severe form of choreaacanthocytosis, 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 I 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.

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Pascal:02-0207135

Le document en format XML

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<term>Haute fréquence</term>
<term>Dystonie</term>
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<div type="abstract" xml:lang="en">We report on a patient with a severe form of choreaacanthocytosis, 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 I 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.</div>
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