Combined Therapy of Orthopedic Surgery after Deep Brain Stimulation in Cerebral Palsy Mixed Type - A Case Report -
Hong Souk Park ; Eun Sook Park ; Sung-Rae Cho ; Young Joo Suh ; Ki Seok Lee ; Jin Woo Chang
Annals of Rehabilitation Medicine, Vol.35(5) : 742-746, 2011
Annals of Rehabilitation Medicine
Dystonia is a symptom defi ned by involuntary and irregular contractions of the muscles, which cause movement
disorders and postural problems. Deep brain stimulation (DBS) in globus pallidus interna (GPi) is a good option
for controlling dystonia. DBS has already been shown to have signifi cant eff ects on primary dystonia as well as
Parkinson’s disease. Dystonia is very difficult to manage, as seen in cerebral palsy (CP) mixed with spasticity.
As CP patients grow, their musculoskeletal problems may require orthopedic surgery. However, the outcome of
orthopedic surgery is not usually suitable due to dystonia. Th erefore, we attempted to control dystonia through
DBS initially and perform orthopedic surgery to correct musculoskeletal deformities after treatment of dystonia.
Herein, we report a case that showed remarkable improvement in terms of the dystonia rating scale and gait
pattern after combined therapy of DBS and orthopedic surgery.