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Neurol Neurochir Pol. 2014 Jan-Feb;48(1):63-70. doi: 10.1016/j.pjnns.2013.04.002. Epub 2014 Jan 23.

The neurosurgical treatment of patients in dystonic state - overview of the literature.

Author information

  • 1Department of Neurosurgery, Postgraduate Medical Center, Warsaw, Poland. Electronic address: mrsob@op.pl.
  • 2Department of Neurological-Psychiatric Nursing and Department of Neurology, Medical University of Gdansk and St. Adalbert Hospital, Gdansk, Poland.
  • 3Department of Neurosurgery, Postgraduate Medical Center, Warsaw, Poland.


Treatment options for patients in dystonic state include sedation, artificial ventilation, intrathecal baclofen infusions and stereotactic procedures. The main aim of this overview is the presentation and assessment of stereotactic procedures applied for treating patients in severe dystonic state. We performed literature overview starting from 1998 to 2012 with case reports regarding all patients treated by stereotactic procedures for dystonic state. We were able to find 15 articles describing 22 patients. Ablative procedures were described in 5 articles (3 thalamotomies, 3 pallidotomies) and were done in 6 patients. In the remaining 10 articles, globus pallidus internus stimulation was utilized in another 16 patients. We can conclude that bilateral pallidal deep brain stimulation seems to be the best stereotactic target for patients in dystonic state.

Copyright © 2014 Polish Neurological Society. Published by Elsevier Urban & Partner Sp. z o.o. All rights reserved.


Deep brain stimulation; Pallidal stimulation; Pallidotomy; Status dystonicus; Thalamotomy

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