Subthalamotomy in cervical dystonia: A case study of lesion location and clinical outcome.
Identifieur interne : 002270 ( Ncbi/Checkpoint ); précédent : 002269; suivant : 002271Subthalamotomy in cervical dystonia: A case study of lesion location and clinical outcome.
Auteurs : Christian K E. Moll [Allemagne] ; Wolfgang Hamel ; Christoph B. Ostertag ; Dieter Müller ; Jürgen Finsterbusch ; Andreas K. Engel ; Alexander MünchauSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2008.
English descriptors
- KwdEn :
- MESH :
- pathology : Torticollis.
- surgery : Subthalamus, Torticollis.
- Female, Humans, Magnetic Resonance Imaging, Middle Aged, Neurologic Examination, Postoperative Period.
Abstract
Here we report a 63-year-old woman with primary cervical dystonia (CD) whose symptoms subsided for more than 30 years following a unilateral stereotactic subthalamotomy contralateral to the overactive left sternocleidomastoid muscle but then gradually recurred over a period of several months. The aim of the present study was to correlate the topography of the stereotactic lesion with the long lasting therapeutic effect. High-resolution magnetic resonance imaging and subsequent stereotactic analysis were performed to determine the anatomical localization of the lesion. The primary coagulation focus comprised the posterior subthalamic white matter in the prelemniscal radiation and field H of Forel. Neighboring structures were implicated to various extents. It is suggested that the posterior subthalamic area, with its abundance of interconnecting fibers and related nuclei, represents an effective target for the neurosurgical treatment of CD that may be explored further with deep brain stimulation.
DOI: 10.1002/mds.22088
PubMed: 18709687
Affiliations:
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Moll</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurophysiology and Pathophysiology, Center of Experimental Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. c.moll@uke.uni-hamburg.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurophysiology and Pathophysiology, Center of Experimental Medicine, University Medical Center Hamburg-Eppendorf, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Hamel, Wolfgang" sort="Hamel, Wolfgang" uniqKey="Hamel W" first="Wolfgang" last="Hamel">Wolfgang Hamel</name></author><author><name sortKey="Ostertag, Christoph B" sort="Ostertag, Christoph B" uniqKey="Ostertag C" first="Christoph B" last="Ostertag">Christoph B. Ostertag</name></author><author><name sortKey="Muller, Dieter" sort="Muller, Dieter" uniqKey="Muller D" first="Dieter" last="Müller">Dieter Müller</name></author><author><name sortKey="Finsterbusch, Jurgen" sort="Finsterbusch, Jurgen" uniqKey="Finsterbusch J" first="Jürgen" last="Finsterbusch">Jürgen Finsterbusch</name></author><author><name sortKey="Engel, Andreas K" sort="Engel, Andreas K" uniqKey="Engel A" first="Andreas K" last="Engel">Andreas K. Engel</name></author><author><name sortKey="Munchau, Alexander" sort="Munchau, Alexander" uniqKey="Munchau A" first="Alexander" last="Münchau">Alexander Münchau</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="doi">10.1002/mds.22088</idno><idno type="RBID">pubmed:18709687</idno><idno type="pmid">18709687</idno><idno type="wicri:Area/PubMed/Corpus">002093</idno><idno type="wicri:Area/PubMed/Curation">002093</idno><idno type="wicri:Area/PubMed/Checkpoint">002073</idno><idno type="wicri:Area/Ncbi/Merge">002270</idno><idno type="wicri:Area/Ncbi/Curation">002270</idno><idno type="wicri:Area/Ncbi/Checkpoint">002270</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Subthalamotomy in cervical dystonia: A case study of lesion location and clinical outcome.</title><author><name sortKey="Moll, Christian K E" sort="Moll, Christian K E" uniqKey="Moll C" first="Christian K E" last="Moll">Christian K E. Moll</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurophysiology and Pathophysiology, Center of Experimental Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. c.moll@uke.uni-hamburg.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurophysiology and Pathophysiology, Center of Experimental Medicine, University Medical Center Hamburg-Eppendorf, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Hamel, Wolfgang" sort="Hamel, Wolfgang" uniqKey="Hamel W" first="Wolfgang" last="Hamel">Wolfgang Hamel</name></author><author><name sortKey="Ostertag, Christoph B" sort="Ostertag, Christoph B" uniqKey="Ostertag C" first="Christoph B" last="Ostertag">Christoph B. Ostertag</name></author><author><name sortKey="Muller, Dieter" sort="Muller, Dieter" uniqKey="Muller D" first="Dieter" last="Müller">Dieter Müller</name></author><author><name sortKey="Finsterbusch, Jurgen" sort="Finsterbusch, Jurgen" uniqKey="Finsterbusch J" first="Jürgen" last="Finsterbusch">Jürgen Finsterbusch</name></author><author><name sortKey="Engel, Andreas K" sort="Engel, Andreas K" uniqKey="Engel A" first="Andreas K" last="Engel">Andreas K. Engel</name></author><author><name sortKey="Munchau, Alexander" sort="Munchau, Alexander" uniqKey="Munchau A" first="Alexander" last="Münchau">Alexander Münchau</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>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Middle Aged</term><term>Neurologic Examination</term><term>Postoperative Period</term><term>Subthalamus (surgery)</term><term>Torticollis (pathology)</term><term>Torticollis (surgery)</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Torticollis</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Subthalamus</term><term>Torticollis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Middle Aged</term><term>Neurologic Examination</term><term>Postoperative Period</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Here we report a 63-year-old woman with primary cervical dystonia (CD) whose symptoms subsided for more than 30 years following a unilateral stereotactic subthalamotomy contralateral to the overactive left sternocleidomastoid muscle but then gradually recurred over a period of several months. The aim of the present study was to correlate the topography of the stereotactic lesion with the long lasting therapeutic effect. High-resolution magnetic resonance imaging and subsequent stereotactic analysis were performed to determine the anatomical localization of the lesion. The primary coagulation focus comprised the posterior subthalamic white matter in the prelemniscal radiation and field H of Forel. Neighboring structures were implicated to various extents. It is suggested that the posterior subthalamic area, with its abundance of interconnecting fibers and related nuclei, represents an effective target for the neurosurgical treatment of CD that may be explored further with deep brain stimulation.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Hambourg</li></region><settlement><li>Hambourg</li></settlement></list><tree><noCountry><name sortKey="Engel, Andreas K" sort="Engel, Andreas K" uniqKey="Engel A" first="Andreas K" last="Engel">Andreas K. Engel</name><name sortKey="Finsterbusch, Jurgen" sort="Finsterbusch, Jurgen" uniqKey="Finsterbusch J" first="Jürgen" last="Finsterbusch">Jürgen Finsterbusch</name><name sortKey="Hamel, Wolfgang" sort="Hamel, Wolfgang" uniqKey="Hamel W" first="Wolfgang" last="Hamel">Wolfgang Hamel</name><name sortKey="Muller, Dieter" sort="Muller, Dieter" uniqKey="Muller D" first="Dieter" last="Müller">Dieter Müller</name><name sortKey="Munchau, Alexander" sort="Munchau, Alexander" uniqKey="Munchau A" first="Alexander" last="Münchau">Alexander Münchau</name><name sortKey="Ostertag, Christoph B" sort="Ostertag, Christoph B" uniqKey="Ostertag C" first="Christoph B" last="Ostertag">Christoph B. Ostertag</name></noCountry><country name="Allemagne"><region name="Hambourg"><name sortKey="Moll, Christian K E" sort="Moll, Christian K E" uniqKey="Moll C" first="Christian K E" last="Moll">Christian K E. Moll</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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