open access

Vol 48, No 1 (2014)
Review article
Submitted: 2012-12-09
Get Citation

The neurosurgical treatment of patients in dystonic state – Overview of the literature

Michał Roman Sobstyl, Jarosław Wojciech Sławek, Mirosław Ząbek
DOI: 10.1016/j.pjnns.2013.04.002
·
Neurol Neurochir Pol 2014;48(1):63-70.

open access

Vol 48, No 1 (2014)
Review article
Submitted: 2012-12-09

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.

Get Citation

Keywords

Status dystonicus, Thalamotomy, Pallidotomy, Deep brain stimulation, Pallidal stimulation

About this article
Title

The neurosurgical treatment of patients in dystonic state – Overview of the literature

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 48, No 1 (2014)

Pages

63-70

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

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl