Pallidal stimulation for generalized dystonia. Report of three cases.
Pallidal stereotactic surgery is a well-accepted treatment alternative for Parkinson's disease. Another indication for this procedure is medically refractory dystonia, especially generalized dystonia with abnormal axial and extremity movements and postures. Improvement of dystonia after pallidotomy has been reported in several recent papers. In this report the authors describe three patients with generalized dystonia (two primary, one secondary) and their improvement after bilateral pallidal stimulation at follow-up times of between 6 and 18 months.
Tronnier
V M
VM
Department of Neurological Surgery, University Hospital, Heidelberg College of Medicine, Germany. Volker_Tronnier@med.uni-heidelberg.de
Fogel
W
W
D000293:Adolescent; D000328:Adult; D004292:Dominance, Cerebral / Q000502:physiology; D004421:Dystonia / Q000503:physiopathology / Q000628:therapy*; D004422:Dystonia Musculorum Deformans / Q000503:physiopathology / Q000628:therapy*; D004599:Electric Stimulation Therapy; D004569:Electroencephalography; D005500:Follow-Up Studies; D005917:Globus Pallidus / Q000503:physiopathology*; D006801:Humans; D008297:Male; D009460:Neurologic Examination; D012815:Signal Processing, Computer-Assisted; D013238:Stereotaxic Techniques; D016896:Treatment Outcome