Bilateral globus pallidus internus deep brain stimulation for dyskinetic cerebral palsy supports success of cochlear implantation in a 5-year old ex-24 week preterm twin with absent cerebellar hemispheres

Lin, Jean-Pierre; Kaminska, Margaret; Perides, Sarah; Gimeno, Hortensia; Baker, Lesley; Lumsden, Daniel E.; Britz, Anzell; Driver, Sandra; Fitzgerald-O’Connor, Alec; Selway, Richard

doi:10.1016/j.ejpn.2016.11.017

Cited by 9 publications

(6 citation statements)

References 39 publications

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“…DBS treatment has been reported in dyskinetic cerebral palsy, ADCY-5-related dyskinesia, and GNAO1-related severe choreoathetosis, with variable outcomes. 71,72,[107][108][109] Uncertainty of case selection criteria, optimal age at procedure for the best benefit, and outcome-predicting factors require additional research. 73,110 Specific paroxysmal dyskinesias Some of the paroxysmal dyskinesias have been shown to respond to specific medications; this is true for the most common forms of PKD, PNKD, and PED.…”

Section: Deep Brain Stimulationmentioning

confidence: 99%

Treatment of Chorea in Childhood

Yılmaz

Mink

2020

Pediatric Neurology

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Section: Deep Brain Stimulationmentioning

confidence: 99%

Treatment of Chorea in Childhood

Yılmaz

Mink

2020

Pediatric Neurology

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“…Other examples include introduction of clonazepam (paradoxically it can also be used as treatment of dystonic storm) [1], initiation of zinc in Wilson’s disease [15] or zolpidem discontinuation in Parkinson’s disease [16]. Other provoking factors include surgical procedures and deep brain stimulation (DBS) failure [17, 18]. As DBS has become more widespread, there have been more reports of dystonic storm from DBS failure, especially due to battery issues or at the end of battery life [19].…”

Section: Dystonic Storm: Clinical Featuresmentioning

confidence: 99%

Dystonic storm: a practical clinical and video review

Termsarasab

Frucht

2017

J Clin Mov Disord

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Dystonic storm is a frightening hyperkinetic movement disorder emergency. Marked, rapid exacerbation of dystonia requires prompt intervention and admission to the intensive care unit. Clinical features of dystonic storm include fever, tachycardia, tachypnea, hypertension, sweating and autonomic instability, often progressing to bulbar dysfunction with dysarthria, dysphagia and respiratory failure. It is critical to recognize early and differentiate dystonic storm from other hyperkinetic movement disorder emergencies. Dystonic storm usually occurs in patients with known dystonia, such as DYT1 dystonia, Wilson’s disease and dystonic cerebral palsy. Triggers such as infection or medication adjustment are present in about one-third of all events. Due to the significant morbidity and mortality of this disorder, we propose a management algorithm that divides decision making into two periods: the first 24 h, and the next 2–4 weeks. During the first 24 h, supportive therapy should be initiated, and appropriate patients should be identified early as candidates for pallidal deep brain stimulation or intrathecal baclofen. Management in the next 2–4 weeks aims at symptomatic dystonia control and supportive therapies.Electronic supplementary materialThe online version of this article (doi:10.1186/s40734-017-0057-z) contains supplementary material, which is available to authorized users.

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“…6 It is also being studied in Tourette syndrome, 7 autism, [8][9][10] selfinjurious behavior, 8 and depression. 11,12 Pediatric deep brain stimulation use has been increasing, especially for treatment of dystonia [13][14][15][16][17][18][19] when pharmacologic treatment is ineffective or poorly tolerated. [20][21][22] There is a need for clear recommendations for deep brain stimulation programming in children with dystonia, similar to standardized protocols published for adults.…”

Section: Introductionmentioning

confidence: 99%

Deep Brain Stimulation for Pediatric Dystonia: A Review of the Literature and Suggested Programming Algorithm

et al. 2022

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Deep brain stimulation (DBS) is an established intervention for use in pediatric movement disorders, especially dystonia. Although multiple publications have provided guidelines for deep brain stimulation patient selection and programming in adults, there are no evidence-based or consensus statements published for pediatrics. The result is lack of standardized care and underutilization of this effective treatment. To this end, we assembled a focus group of 13 pediatric movement disorder specialists and 1 neurosurgeon experienced in pediatric deep brain stimulation to review recent literature and current practices and propose a standardized approach to candidate selection, implantation target site selection, and programming algorithms. For pediatric dystonia, we provide algorithms for (1) programming for initial session and follow-up sessions, and (2) troubleshooting side effects encountered during programming. We discuss common side effects, how they present, and recommendations for management. This topical review serves as a resource for movement disorders specialists interested in using deep brain stimulation for pediatric dystonia.

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Bilateral globus pallidus internus deep brain stimulation for dyskinetic cerebral palsy supports success of cochlear implantation in a 5-year old ex-24 week preterm twin with absent cerebellar hemispheres

Cited by 9 publications

References 39 publications

Treatment of Chorea in Childhood

Treatment of Chorea in Childhood

Dystonic storm: a practical clinical and video review

Deep Brain Stimulation for Pediatric Dystonia: A Review of the Literature and Suggested Programming Algorithm

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