Posterior occipital approach in deep brain stimulation for both pain and involuntary movement. A case report.
We report a patient with intractable left facial pain and severe hyperkinesia of the left arm who was successfully treated with deep brain stimulation. The stimulation lead was positioned to pierce both the sensory relay nucleus and the nucleus ventrointermedius of the thalamus in a single stereotactic trajectory through an occipital burr hole.
Taira
T
T
Department of Neurosurgery, Neurological Institute, Tokyo Women's Medical College, Tokyo, Japan. ttaira@nij.twmc.ac.jp
Kawamura
H
H
Takakura
K
K
D001921:Brain / Q000000981:diagnostic imaging / Q000503:physiopathology*; D014695:Cerebral Ventriculography; D004599:Electric Stimulation Therapy; D004567:Electrodes, Implanted; D005157:Facial Pain / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009069:Movement Disorders / Q000628:therapy*; D009778:Occipital Lobe / Q000601:surgery; D013238:Stereotaxic Techniques; D013787:Thalamic Nuclei / Q000503:physiopathology