Neurosurgical treatment for dystonia: Long-term outcome in a case series of 80 patients

Martinez, Jairo Alberto Espinoza; Pinsker, Marcus O.; Arango, Gabriel Misas; Garcia, Xiomara; Oscar, Andrés Escobar V; Furlanetti, Luciano; Reithmeier, Thomas; Aranda, Iñigo A.; Marín, Julián David Martínez; López, William Omar Contreras

doi:10.1016/j.clineuro.2014.05.012

Cited by 15 publications

(14 citation statements)

References 17 publications

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“…Patients not responding to the ITB trial should be treated with DBS. When a tonic component predominates, GPi is the first target [14]. According to Marks et al DBS may offer an effective treatment option for cerebral palsy-related dystonia, especially in those treated before skeletal maturity [30].…”

Section: Discussionmentioning

confidence: 99%

“…In patients with dystonic form of CP after bilateral GPi stimulation the improvement ranges from 21% to 55% in over 60% of patients in <20% there is little benefit and in −7.4% deterioration [15].…”

Section: Discussionmentioning

confidence: 99%

“…In general in patients with primary dystonia, the improvement in Burke-Fahn-Marsden Dystonia Rating Scale (BFMDRS) has been reported to be of 40-70% after GPi DBS, but in patients with secondary dystonia, the improvement in the BFMDRS has been reported to be of 10.6-41% [8,11,12]. Patients with secondary dystonia due to previous perinatal insults showed a mean improvement in BFMDRS of 41.9%, with better results in purely dyskinetic patients (mean improvement of 61.2%) [14].…”

Section: Introductionmentioning

confidence: 86%

“…Bilateral pallidal stimulation can also be an effective treatment in adult patients with dystonia-choreathosis CP [15]. DBS of GPi can produce 23.6% mean improvement in movement component of BFMDRS and 9,2% in disability component of BFMDRS in patients with dyskinetic CP according to results of meta-analysis recently published [16].…”

Section: Introductionmentioning

confidence: 97%

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Deep anterior cerebellar stimulation reduces symptoms of secondary dystonia in patients with cerebral palsy treated due to spasticity

Sokal¹,

Rudaś²,

Harat

et al. 2015

Clinical Neurology and Neurosurgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 97%

See 2 more Smart Citations

Deep anterior cerebellar stimulation reduces symptoms of secondary dystonia in patients with cerebral palsy treated due to spasticity

Sokal¹,

Rudaś²,

Harat

et al. 2015

Clinical Neurology and Neurosurgery

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“…According to a recent meta-analysis, 48 Tourette syndrome DBS studies have been published since 1999, including approximately 120 patients from 23 centers in 13 countries. At least seven separate brain targets have been employed [96].…”

Section: Tourette Syndromementioning

confidence: 99%

Deep brain stimulation for movement disorders

Fasano

Lozano

2015

Current Opinion in Neurology

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The Symptomatic Treatment of Acquired Dystonia: A Systematic Review

Heuvel

Tijssen

Warrenburg

et al. 2016

Movement Disord Clin Pract

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Background Acquired dystonia is caused by an acquired or exogenous event. Although the therapeutic armamentarium used in clinical practice is more or less similar to that used for inherited or idiopathic dystonia, formal proof of the efficacy of these interventions in acquired dystonia is lacking. Methods The authors attempt to provide a comprehensive and systematic review of the current evidence for medical and allied health care treatment strategies in acquired dystonias. The PubMed, Cochrane Library, MEDLINE, Web of Science, PiCarta, and PsycINFO databases were searched up to December 2015, including randomized controlled trials, patient‐control studies, and case series or single case reports containing a report on clinical outcome. Results There are level 3 practice recommendations for botulinum toxin injections and globus pallidus pars interna deep brain stimulation for tardive dystonia and dystonic cerebral palsy as well as intrathecal baclofen for dystonic cerebral palsy. There are insufficient and conflicting data on the effect (vs. the hazard) of other pharmacological interventions, and limited work has been done on other forms of neurostimulation and allied health care. Because no class A1 or A2 studies were identified, level 1 or 2 practice recommendations could not be deducted for a specific treatment intervention. Conclusions To improve the current medical and allied health care treatment options for patients with acquired dystonia, high‐quality trials that examine the efficacy of therapies need to be performed.

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Neurosurgical treatment for dystonia: Long-term outcome in a case series of 80 patients

Cited by 15 publications

References 17 publications

Deep anterior cerebellar stimulation reduces symptoms of secondary dystonia in patients with cerebral palsy treated due to spasticity

Deep anterior cerebellar stimulation reduces symptoms of secondary dystonia in patients with cerebral palsy treated due to spasticity

Deep brain stimulation for movement disorders

The Symptomatic Treatment of Acquired Dystonia: A Systematic Review

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