Deep brain stimulation for generalised dystonia and spasmodic torticollis

@article{Bittar2005DeepBS,
  title={Deep brain stimulation for generalised dystonia and spasmodic torticollis},
  author={Richard G. Bittar and John Yianni and Shouyan Wang and Xuguang Liu and Dipankar Nandi and Carole Joint and Richard B. Scott and Peter G Bain and Ralph P Gregory and John Stein and Tipu Z. Aziz},
  journal={Journal of Clinical Neuroscience},
  year={2005},
  volume={12},
  pages={12-16}
}
Dystonia appears distinct from the other tremulous disorders in that improvement following deep brain stimulation frequently appears in a delayed and progressive manner. The rate of this improvement and the point at which no further progress can be expected are presently unknown. The establishment of these parameters is important in the provision of accurate and relevant prognostic information to these patients, their carers, and their treating physicians. We studied 12 consecutive patients… Expand
The Canadian multicentre study of deep brain stimulation for cervical dystonia.
TLDR
The results support the efficacy and safety of GPi-DBS for the treatment of patients with severe and prolonged cervical dystonia who have failed medical management. Expand
Comparison of Treatment Results between Selective Peripheral Denervation and Deep Brain Stimulation in Patients with Cervical Dystonia
TLDR
Both the SPD group and the DBS group showed successful improvement in their Toronto Western Spasmodic Torticollis Scale scores as well as subjective scores and there was a trend toward greater pain reduction in the D BS group. Expand
Surgical Treatment of Dystonia
TLDR
Pallidal deep brain stimulation (GPi-DBS) seems to be more effective in CD patients than extracerebral surgery, and in rare dystonia types such as Meige syndrome, myoclonus dySTONia or dystonIA secondary to heterodegenerative diseases, pallidal neuromodulation seem to be effective. Expand
Bilateral Deep Brain Stimulation for Cervical Dystonia: Long-term Outcome in a Series of 10 Patients
TLDR
Improvement in all 3 subscale scores of the Toronto Western Spasmodic Torticollis Rating Scale with bilateral GPi deep brain stimulation seems to be the rule, providing tangible evidence of the complex nature of cervical dystonia and interesting insight into the complex functional organization of the GPi. Expand
Deep brain stimulation for dystonia
TLDR
A literature analysis on DBS for dystonia is performed and the main results and limits for each subgroup of patients that may help in the selection of dystonic patients who will benefit from DBS are discussed. Expand
Long-term outcome of deep brain stimulation in generalised dystonia: a series of 60 cases
TLDR
The aetiology of dystonia was the sole factor predicting a better or poorer outcome from globus pallidus pars interna stimulation in this series of patients with generalised dySTONia. Expand
Treatment of severe refractory dystonic tremor associated with cervical dystonia by bilateral deep brain stimulation: A case series report
TLDR
The experience gathered in 3 patients indicates that bilateral DBS can be an effective treatment for disabling, pharmacological refractory tremulous CD. Expand
Effects of Relative Low-Frequency Bilateral Globus Pallidus Internus Stimulation for Treatment of Cervical Dystonia
TLDR
According to the results, the initial settings of low amplitude and especially relatively low frequency are safe and effective for treatment of CD. Expand
Bilateral pallidal stimulation in cervical dystonia: blinded evidence of benefit beyond 5 years.
TLDR
Deep brain stimulation of the globus pallidus is an effective and long-lasting second-line treatment of cervical dystonia, with benefit in some patients extending to >10 years, and more data are needed to explain variations in individual responses and to guide individual programming parameters. Expand
Deep brain stimulation for dystonia.
TLDR
This chapter provides a comprehensive analysis of the use of the treatment of the deep brain stimulation technique in various types of secondary dystonia, with little to moderate benefit in most cases, based on single cases or small series. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 14 REFERENCES
Deep Brain Stimulation for Dystonia in Adults
  • J. Krauss
  • Medicine
  • Stereotactic and Functional Neurosurgery
  • 2002
TLDR
This review summarizes the available data on pallidal and thalamic DBS for various dystonic syndromes and indicates that choreoathetosis in patients with cerebral palsy responds less well to pallidal DBS, and that it may not be effective at all in some patients. Expand
Deep brain stimulation in the treatment of severe dystonia
TLDR
Although this is a retrospective study dealing with dystonia of heterogeneous etiology, the results strongly suggest that GPi DBS has a better outcome than VLp DBS. Expand
Post‐operative progress of dystonia patients following globus pallidus internus deep brain stimulation
TLDR
Comparisons were limited by differences in their respective neurological rating scales, but chronic DBS clearly benefited both patient groups, demonstrating the gradual but progressive and sustained nature of improvement following stimulation of the GPi in dystonic patients. Expand
Globus pallidus internus deep brain stimulation for dystonic conditions: A prospective audit
  • J. Yianni, P. Bain, +7 authors T. Aziz
  • Medicine
  • Movement disorders : official journal of the Movement Disorder Society
  • 2003
TLDR
This study clearly demonstrates that DBS of the GPi provides amelioration of intractable dystonia. Expand
Long-term follow up of bilateral deep brain stimulation of the subthalamic nucleus in patients with advanced Parkinson disease.
TLDR
In this group of patients with advanced PD who underwent bilateral DBS of the STN, sustained improvement in motor function was present a mean of 2 years after the procedure, and sustained reductions in drug requirements were also achieved. Expand
Pallidal and thalamic neurostimulation in severe tardive dystonia
A 70 year old woman presented with a 6 year history of medically refractory severe tardive dystonia. After informed consent, a bilateral stereotactic electrode placement targeting the ventralExpand
Stereotaxic thalamotomy in 55 cases of dystonia.
TLDR
The group that has been identified as benefiting greatly from stereotaxic surgery comprises those with hemidystonia following unilateral brain damage, in these patients, symptomatic improvement in abnormal movement is striking and the incidence of operative side effects from unilateral lesions is low. Expand
Teaching tape for the motor section of the toronto western spasmodic torticollis scale
TLDR
A teaching tape of the TWSTRS scoring for the motor symptoms of cervical dystonia was developed and scale deficiencies identified by the raters were an explicit definition of midline for assessment of range of motion, the absence of a separate scoring category assessing dystonic tremor, and the specification of duration for the effect of sensory tricks. Expand
Bilateral pallidal stimulation for idiopathic segmental axial dystonia advanced from meige syndrome refractory to bilateral thalamotomy
  • D. Muta, S. Goto, +4 authors S. Mita
  • Psychology, Medicine
  • Movement disorders : official journal of the Movement Disorder Society
  • 2001
TLDR
All dystonic symptoms that had been refractory to both pharmacotherapy and bilateral thalamotomy were markedly alleviated by bilateral pallidal stimulation in a patient with segmental axial dystonia advanced from Meige syndrome. Expand
Treatment of DYT1-generalised dystonia by stimulation of the internal globus pallidus
TLDR
Continuous bilateral stimulation of the globus pallidus internus was associated with substantial improvement of dystonia and functional disability in patients with DYT1. Expand
...
1
2
...