J Neurosurg. 1999 May;90(5):974-6.

Benefit of bilateral pallidotomy in the treatment of generalized dystonia. Case report.

Lin JJ, Lin GY, Shih C, Lin SZ, Chang DC, Lee CC.

Source

Department of Neurology, Chushang Show-Chwan Hospital, Nantou, Taiwan, Republic of China. jjlinn@tcts.seed.net.tw

Abstract

This 29-year-old man with cerebral palsy complicated by generalized dystonia was treated by simultaneous bilateral posteroventral pallidotomy. Postoperatively, there was slow, but steady, improvement in the patient's dystonia and disability. However, the improvement in abnormal movements was only prominent for cervical dystonia and oromandibular dyskinesia. The patient's Burke-Fahn-Marsden dystonia scores were 51 preoperatively and 37, 33.5 and 33.5, at 3, 6, and 12 months postoperatively, respectively, demonstrating a maximum improvement of 34%. These results suggest that pallidotomy can be an alternative therapy for those patients suffering from intractable generalized dystonia.

PMID:: 10223469; [PubMed - indexed for MEDLINE]

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