Bilateral subthalamic nucleus deep brain stimulation in a patient with cervical dystonia and essential tremor

被引:86
作者
Chou, KL
Hurtig, HI
Jaggi, JL
Baltuch, GH
机构
[1] Brown Univ, Sch Med, Dept Clin Neurosci, Providence, RI 02912 USA
[2] Univ Penn, Sch Med, Penn Hosp, Parkinsons Dis & Moverment Disorders Ctr, Philadelphia, PA 19104 USA
[3] Univ Penn, Sch Med, Penn Hosp, Dept Neurosurg, Philadelphia, PA 19104 USA
关键词
subthalamic nucleus; deep brain stimulation; cervical dystonia; tremor;
D O I
10.1002/mds.20341
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The role of subthalamic nucleus (STN) deep brain stimulation (DBS) is well established in Parkinson's disease, but experience with STN DBS in other movement disorders is limited. We report on a patient with medically refractory cervical dystonia and essential tremor resulting in dystonic head tremor and action tremor of the hands who obtained complete tremor suppression and near resolution of her cervical dystonia with bilateral STN stimulation. The results in this case demonstrate that STN DBS can dramatically improve dystonia and tremor in nonparkinsonian movement disorders. (c) 2004 Movement Disorder Society.
引用
收藏
页码:377 / 380
页数:4
相关论文
共 22 条
[1]   Chronic electrical stimulation of the ventralis intermedius nucleus of the thalamus as a treatment of movement disorders [J].
Benabid, AL ;
Pollak, P ;
Gao, DM ;
Hoffmann, D ;
Limousin, P ;
Gay, E ;
Payen, I ;
Benazzouz, A .
JOURNAL OF NEUROSURGERY, 1996, 84 (02) :203-214
[2]   IDIOPATHIC CERVICAL DYSTONIA - CLINICAL CHARACTERISTICS [J].
CHAN, J ;
BRIN, MF ;
FAHN, S .
MOVEMENT DISORDERS, 1991, 6 (02) :119-126
[3]  
Consky ES, 1994, Ther Botulinum Toxin, P211
[4]  
Detante Olivier, 2004, Adv Neurol, V94, P309
[5]   Deep brain stimulation of subthalamic area for severe proximal tremor [J].
Kitagawa, M ;
Murata, J ;
Kikuchi, S ;
Sawamura, Y ;
Saito, H ;
Sasaki, H ;
Tashiro, K .
NEUROLOGY, 2000, 55 (01) :114-116
[6]  
Koller WC, 1999, MOVEMENT DISORD, V14, P847, DOI 10.1002/1531-8257(199909)14:5<847::AID-MDS1021>3.0.CO
[7]  
2-G
[8]   From off-period dystonia to peak-dose chorea - The clinical spectrum of varying subthalamic nucleus activity [J].
Krack, P ;
Pollak, P ;
Limousin, P ;
Benazzouz, A ;
Deuschl, G ;
Benabid, AL .
BRAIN, 1999, 122 :1133-1146
[9]   Treatment of tremor in Parkinson's disease by subthalamic nucleus stimulation [J].
Krack, P ;
Benazzouz, A ;
Pollak, P ;
Limousin, P ;
Piallat, B ;
Hoffmann, D ;
Xie, J ;
Benabid, AL .
MOVEMENT DISORDERS, 1998, 13 (06) :907-914
[10]   Bilateral stimulation of globus pallidus internus for treatment of cervical dystonia [J].
Krauss, JK ;
Pohle, T ;
Weber, S ;
Ozdoba, C ;
Burgunder, JM .
LANCET, 1999, 354 (9181) :837-838