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Combined Therapy of Orthopedic Surgery after Deep Brain Stimulation in Cerebral Palsy Mixed Type - A Case Report -

Authors
 Hong Souk Park  ;  Eun Sook Park  ;  Sung-Rae Cho  ;  Young Joo Suh  ;  Ki Seok Lee  ;  Jin Woo Chang 
Citation
 Annals of Rehabilitation Medicine, Vol.35(5) : 742-746, 2011 
Journal Title
 Annals of Rehabilitation Medicine 
ISSN
 2234-0645 
Issue Date
2011
Abstract
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.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/94266
DOI
10.5535/arm.2011.35.5.742
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실)
Yonsei Authors
박은숙(Park, Eun Sook) ; 이기석(Lee, Ki Seok) ; 장진우(Chang, Jin Woo) ; 조성래(Cho, Sung Rae)
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