Management of a hemidystonic patient with thalamotomy, campotomy and cervical dorsal root entry zone operation.
Several medical and surgical procedures have been presented for treatment of dystonia. Thalamotomy, pallidotomy, and campotomy are some of the surgical choices. This study presents a patient with dystonia who underwent a cervical dorsal root entry zone (DREZ) operation after thalamotomy and campotomy. A 23-year-old man who was resistant to medical treatment presented with left hemidystonia. Thalamotomy and campotomy were performed. The patient remarkably benefited from the procedure but dystonic complaints in his left arm continued. A cervical DREZ operation was performed 5 years after the first operation and the dystonic complaints decreased after the surgery. This article presents a new aspect for the treatment of dystonia. Based on the outcomes of the treatment, DREZ operation may be suggested as an alternative surgical treatment for patients with segmental dystonia located in the extremities.
Kahilogullari
Gokmen
G
Department of Neurosurgery, School of Medicine, Ankara University, Ankara, Turkey. gokmenkahil@hotmail.com
Ugur
Hasan Caglar
HC
Savas
Ali
A
Dirik
Ebru Bilge
EB
Akbostanci
M Cenk
MC
Elibol
Bulent
B
Kanpolat
Yucel
Y
D000328:Adult; D000344:Afferent Pathways / Q000601:surgery; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D019090:Case Management; D017115:Catheter Ablation; D002574:Cervical Vertebrae / Q000601:surgery; D003131:Combined Modality Therapy; D020821:Dystonic Disorders / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D004660:Encephalitis / Q000150:complications; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D013116:Spinal Cord / Q000601:surgery*; D013126:Spinal Nerve Roots; D013788:Thalamus / Q000601:surgery*; D014202:Tremor / Q000209:etiology / Q000601:surgery
D019274:Botulinum Toxins, Type A