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Rescue pallidotomy for dystonia through implanted deep brain stimulation electrode
Umeå universitet, Medicinska fakulteten, Institutionen för farmakologi och klinisk neurovetenskap, Klinisk neurovetenskap.
2016 (Engelska)Ingår i: Surgical Neurology International, ISSN 2229-5097, E-ISSN 2152-7806, Vol. 7, s. S815-S817Artikel i tidskrift (Refereegranskat) 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.

Ort, förlag, år, upplaga, sidor
2016. Vol. 7, s. S815-S817
Nyckelord [en]
Deep brain stimulation, dystonia, pallidotomy
Nationell ämneskategori
Neurologi
Identifikatorer
URN: urn:nbn:se:umu:diva-134764DOI: 10.4103/2152-7806.194061PubMedID: 27990311Scopus ID: 2-s2.0-85009083990OAI: oai:DiVA.org:umu-134764DiVA, id: diva2:1094871
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Ingår i SNI: Stereotactic, a supplement to Surgical Neurology International 

Tillgänglig från: 2017-05-11 Skapad: 2017-05-11 Senast uppdaterad: 2024-05-02Bibliografiskt granskad

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