Hemidystonia secondary to thalamic hemorrhage treated with GPi stimulation.
Identifieur interne : 002227 ( Ncbi/Checkpoint ); précédent : 002226; suivant : 002228Hemidystonia secondary to thalamic hemorrhage treated with GPi stimulation.
Auteurs : Tadashi Hamasaki [Japon] ; Kazumichi Yamada ; Jun-Ichi KuratsuSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2008.
English descriptors
- KwdEn :
- 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.
DOI: 10.1002/mds.22183
PubMed: 18661563
Affiliations:
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pubmed:18661563Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">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"><nlm:affiliation>Department of Neurosurgery, Kumamoto University Medical School, Honjo, Kumamoto, Japan. thamasaki-nsu@umin.ac.jp</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Neurosurgery, Kumamoto University Medical School, Honjo, Kumamoto</wicri:regionArea><wicri:noRegion>Kumamoto</wicri:noRegion></affiliation></author><author><name sortKey="Yamada, Kazumichi" sort="Yamada, Kazumichi" uniqKey="Yamada K" first="Kazumichi" last="Yamada">Kazumichi Yamada</name></author><author><name sortKey="Kuratsu, Jun Ichi" sort="Kuratsu, Jun Ichi" uniqKey="Kuratsu J" first="Jun-Ichi" last="Kuratsu">Jun-Ichi Kuratsu</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="doi">10.1002/mds.22183</idno><idno type="RBID">pubmed:18661563</idno><idno type="pmid">18661563</idno><idno type="wicri:Area/PubMed/Corpus">002136</idno><idno type="wicri:Area/PubMed/Curation">002136</idno><idno type="wicri:Area/PubMed/Checkpoint">002265</idno><idno type="wicri:Area/Ncbi/Merge">002227</idno><idno type="wicri:Area/Ncbi/Curation">002227</idno><idno type="wicri:Area/Ncbi/Checkpoint">002227</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">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"><nlm:affiliation>Department of Neurosurgery, Kumamoto University Medical School, Honjo, Kumamoto, Japan. thamasaki-nsu@umin.ac.jp</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Neurosurgery, Kumamoto University Medical School, Honjo, Kumamoto</wicri:regionArea><wicri:noRegion>Kumamoto</wicri:noRegion></affiliation></author><author><name sortKey="Yamada, Kazumichi" sort="Yamada, Kazumichi" uniqKey="Yamada K" first="Kazumichi" last="Yamada">Kazumichi Yamada</name></author><author><name sortKey="Kuratsu, Jun Ichi" sort="Kuratsu, Jun Ichi" uniqKey="Kuratsu J" first="Jun-Ichi" last="Kuratsu">Jun-Ichi Kuratsu</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></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>Globus Pallidus (surgery)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Thalamus (pathology)</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></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><noCountry><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></noCountry><country name="Japon"><noRegion><name sortKey="Hamasaki, Tadashi" sort="Hamasaki, Tadashi" uniqKey="Hamasaki T" first="Tadashi" last="Hamasaki">Tadashi Hamasaki</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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