Reversal of thalamic hand syndrome by long-term motor cortex stimulation - Case report

被引:40
作者
Franzini, A [1 ]
Ferroli, P [1 ]
Servello, D [1 ]
Broggi, G [1 ]
机构
[1] Ist Nazl Neurol C Besta, Dept Neurosurg, I-20133 Milan, Italy
关键词
cortical stimulation; thalamic syndrome; pain; dystonia; neuronavigation;
D O I
10.3171/jns.2000.93.5.0873
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors describe a case of complete recovery from the so-called "thalamic hand" syndrome following chronic motor cortex stimulation in a 64-year-old man suffering from poststroke thalamic central pain. As of the 2-year follow-up examination, the patient's dystonia and pain are still controlled by electrical stimulation. It is speculated that a common mechanism in which the thalamocortical circuit loops are rendered out of balance may sustain hand dystonia and central pain in this case of thalamic syndrome. To the authors' knowledge this is the first reported case of its kind.
引用
收藏
页码:873 / 875
页数:3
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