Unilateral Pallidal Stimulation in Cervical Dystonia
Makaleler > Tam Makale · 1999
Yazarlar: S Islekel, Mehmet ZİLELİ, B Zileli
Stereotactic and Functional Neurosurgery, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Wos, 1999, cilt 72, ss 248-252
DOI: 10.1159/000029736
Özet
Cervical dystonia (spasmodic torticollis) is a focal dystonia of the cervical region. Various treatment modalities have been performed with variable success rates. We present a 42-year-old woman complaining of involuntary head rotation for the last 3 years. Different medical treatments had been used for 3 years. Botulinum toxin injections resulted in temporary and moderate improvement for periods of 3-4 months. Pallidal stimulation was performed using a quadripolar electrode and a battery-operated programmable pulse generator. We conclude that a unilateral pallidal lesion or stimulation is an effective method of treatment in focal dystonia. The target must be the pallidum contralateral to the contracted sternocloidomastoid muscle. Deep brain stimulation is superior to lesioning because of the capability of manipulating the stimulation parameters which can modify the pallidotomy effect.