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Rescue pallidotomy for dystonia through implanted deep brain stimulation electrode
Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience.
2016 (English)In: Surgical Neurology International, ISSN 2152-7806, E-ISSN 2152-7806, Vol. 7, S815-S817 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Some patients with deep brain stimulation (DBS), where removal of implants is indicated due to hardware related infections, are not candidates for later re-implantation. In these patients a rescue lesion through the DBS electrode has been suggested as an option. In this case report we present a patient where a pallidotomy was performed using the DBS electrode.

CASE DESCRIPTION: An elderly woman with bilateral Gpi DBS suffered an infection around the left burr hole involving the DBS electrode. A unilateral lesion was performed through the DBS electrode before it was removed. No side effects were encountered. Burke-Fahn-Marsden (BFM) dystonia movement scale score was 39 before DBS. With DBS before lesioning BFM score was 2.5 points. The replacement of the left sided stimulation with a pallidotomy resulted in only a minor deterioration of the score to 5 points.

CONCLUSIONS: In the case presented here a small pallidotomy performed with the DBS electrode provided a satisfactory effect on the patient's dystonic symptoms. Thus, rescue lesions through the DBS electrodes, although off-label, might be considered in patients with Gpi DBS for dystonia when indicated.

Place, publisher, year, edition, pages
2016. Vol. 7, S815-S817 p.
Keyword [en]
Deep brain stimulation, dystonia, pallidotomy
National Category
Neurology
Identifiers
URN: urn:nbn:se:umu:diva-134764DOI: 10.4103/2152-7806.194061PubMedID: 27990311OAI: oai:DiVA.org:umu-134764DiVA: diva2:1094871
Note

Ingår i SNI: Stereotactic, a supplement to Surgical Neurology International 

Available from: 2017-05-11 Created: 2017-05-11 Last updated: 2017-05-11Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf