근긴장이상증 치료를 위한 심부뇌자극술

Abstract

Although lesioning of the thalamus has been chosen for the treatment of severe dystonia in the past, bilateral deep brain stimulation (DBS) of globus pallidus interna (GPi) is now well accepted treatment option for severe dystonia. There are many reports about outcomes after DBS, but the results were not equal. In this review, we describe surgical procedure of DBS on GPi including imaging, planning, microelectrode recording, stimulation, programming and its outcome with our experiences and references.