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Posttraumatic hemidystonia treated with unilateral globus pallidus interna stimulation: Long-term follow-up and radiologic features

Authors
 Dong W. Kang  ;  Jung H. Kang  ;  Myung S. Lee  ;  Jin W. Chang 
Citation
 NEUROMODULATION, Vol.13(4) : 261-264, 2010 
Journal Title
 NEUROMODULATION 
ISSN
 1094-7159 
Issue Date
2010
Abstract
OBJECTIVE: Hemidystonia is a unilateral clinical presentation of dystonia, and it is usually refractory to current methods of medical treatment. Recently, deep brain stimulation has given some hope of recovery to dystonic patients. MATERIALS AND METHODS: A 30-year-old right-handed man with no abnormal perinatal history or family history of movement disorders was admitted to our institution. The patient had suffered right-sided dystonia for more than three years after severe head trauma sustained four years prior. RESULTS: We performed a stereotactic implantation of an electrode into the left globus pallidus internus (GPi) and he showed excellent response to pallidal stimulation during long-term follow-up. CONCLUSIONS: We present a unique case of secondary posttraumatic hemidystonia treated with contralateral GPi stimulation with an excellent outcome. Pallidal stimulation can be a good treatment option for posttraumatic hemidystonia in selected cases.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1525-1403.2010.00306.x/abstract
DOI
10.1111/j.1525-1403.2010.00306.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Dong Wan(강동완)
Kang, Jeong Han(강정한)
Lee, Myung Sik(이명식) ORCID logo https://orcid.org/0000-0002-8413-1854
Chang, Jin Woo(장진우) ORCID logo https://orcid.org/0000-0002-2717-0101
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/102619
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