Blomstedt, P;
Taira, T;
Hariz, M;
(2016)
Rescue pallidotomy for dystonia through implanted deep brain stimulation electrode.
Surgical Neurology International
, 7
S815-S817.
10.4103/2152-7806.194061.
Preview |
Text
Hariz_SNI-7-815.pdf - Published Version Download (1MB) | Preview |
Abstract
BACKGROUND: Some patients with deep brain stimulation (DBS), where removal of implants is indicated due to hardware related infections, are not candidates for later re-implantation. In these patients a rescue lesion through the DBS electrode has been suggested as an option. In this case report we present a patient where a pallidotomy was performed using the DBS electrode. CASE DESCRIPTION: An elderly woman with bilateral Gpi DBS suffered an infection around the left burr hole involving the DBS electrode. A unilateral lesion was performed through the DBS electrode before it was removed. No side effects were encountered. Burke-Fahn-Marsden (BFM) dystonia movement scale score was 39 before DBS. With DBS before lesioning BFM score was 2.5 points. The replacement of the left sided stimulation with a pallidotomy resulted in only a minor deterioration of the score to 5 points. CONCLUSIONS: In the case presented here a small pallidotomy performed with the DBS electrode provided a satisfactory effect on the patient's dystonic symptoms. Thus, rescue lesions through the DBS electrodes, although off-label, might be considered in patients with Gpi DBS for dystonia when indicated.
| Type: | Article |
|---|---|
| Title: | Rescue pallidotomy for dystonia through implanted deep brain stimulation electrode |
| Location: | India |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.4103/2152-7806.194061 |
| Publisher version: | http://doi.org/10.4103/2152-7806.194061 |
| Language: | English |
| Additional information: | © 2016 Surgical Neurology International This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
| Keywords: | Deep brain stimulation, dystonia, pallidotomy |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Department of Neuromuscular Diseases |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1534426 |
Archive Staff Only
 |
View Item |
