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The neurosurgical treatment of patients in dystonic state – Overview of the literature
Affiliations- Department of Neurosurgery, Postgraduate Medical Center, Warsaw, Poland
- Department of Neurological-Psychiatric Nursing and Department of Neurology, Medical University of Gdansk and St. Adalbert Hospital, Gdansk, Poland
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Abstract
Treatment options for patients in dystonic state include sedation, artificial ventilation, intrathecal baclofen infusions and stereotactic procedures. The main aim of this overview is the presentation and assessment of stereotactic procedures applied for treating patients in severe dystonic state. We performed literature overview starting from 1998 to 2012 with case reports regarding all patients treated by stereotactic procedures for dystonic state. We were able to find 15 articles describing 22 patients. Ablative procedures were described in 5 articles (3 thalamotomies, 3 pallidotomies) and were done in 6 patients. In the remaining 10 articles, globus pallidus internus stimulation was utilized in another 16 patients. We can conclude that bilateral pallidal deep brain stimulation seems to be the best stereotactic target for patients in dystonic state.
Abstract
Treatment options for patients in dystonic state include sedation, artificial ventilation, intrathecal baclofen infusions and stereotactic procedures. The main aim of this overview is the presentation and assessment of stereotactic procedures applied for treating patients in severe dystonic state. We performed literature overview starting from 1998 to 2012 with case reports regarding all patients treated by stereotactic procedures for dystonic state. We were able to find 15 articles describing 22 patients. Ablative procedures were described in 5 articles (3 thalamotomies, 3 pallidotomies) and were done in 6 patients. In the remaining 10 articles, globus pallidus internus stimulation was utilized in another 16 patients. We can conclude that bilateral pallidal deep brain stimulation seems to be the best stereotactic target for patients in dystonic state.
Keywords
Status dystonicus, Thalamotomy, Pallidotomy, Deep brain stimulation, Pallidal stimulation
About this articleTitle
The neurosurgical treatment of patients in dystonic state – Overview of the literature
Journal
Neurologia i Neurochirurgia Polska
Issue
Article type
Review Article
Pages
63-70
Page views
348
Article views/downloads
607
DOI
10.1016/j.pjnns.2013.04.002
Bibliographic record
Neurol Neurochir Pol 2014;48(1):63-70.
Keywords
Status dystonicus
Thalamotomy
Pallidotomy
Deep brain stimulation
Pallidal stimulation
Authors
Michał Roman Sobstyl
Jarosław Wojciech Sławek
Mirosław Ząbek
