Deep Brain Stimulation in a Patient with Generalized Dystonia Painful Rebel to the Medical Therapy: A Case Report (Clinical Note)
Abstract
Cervical dystonia is a common malaise in the doctor's office. It is a movement disorder characterized by sustained involuntary muscle contractions and abnormal postures: the patient ehibits involuntary left head and neck turning. It can recognize various more or less severe conditions as etiologicals agents and still remains a difficult disorder to treat. We reviewed a clinical case, analyzing both the moments of differential diagnostics and the therapeutic choices, with particular interest in cerebral electrostimulation.
[1] Albanese A, Bhatia K, DeLong MR, Fahn S, Fung VS, Hallett M, et al. “Complex” dystonia is not a category in the new 2013 consen- sus classification. Movement Disorders. 2016; 31(11):1758-59. [DOI:10.1002/mds.26764] [PMID] [PMCID]
[2] Klein C. Genetics in dystonia. Parkinsonism Relat Disord. 2014; 20(Suppl 1):S137-42. [DOI:10.1016/S1353-8020(13)70033-6] [PMID]
[3] Destée A, Brique S, Sablonnière B. [Genetic dystonia (French)]. Presse Med. 1999; 28(6):298-305. [PMID]
[4] Larson PS. Deep brain stimulation for movement disorders. Neuro- therapeutics. 2014; 11(3):465-74. [DOI:10.1007/s13311-014-0274- 1] [PMID] [PMCID]
[5] Velisar A, Syrkin-Nikolau J, Blumenfeld Z, Trager MH, Afzal MF, Prabhakar V, et al. Dual threshold neural closed loop deep brain stimulation in Parkinson disease patients. Brain Stimulation. 2019; 12(4):868-76. [DOI:10.1016/j.brs.2019.02.020] [PMID]
[6] Almeida L, Martinez-Ramirez D, Ahmed B, Deeb W, Jesus S, Skinner J, et al. A pilot trial of square biphasic pulse deep brain stimulation for dystonia: The BIP dystonia study. Movement Disorders. 2017; 32(4):615-8. [DOI:10.1002/mds.26906] [PMID]
[7] Bergey GK, Morrell MJ, Mizrahi EM, Goldman A, King-Stephens D, Nair D, et al. Long-term treatment with responsive brain stimulation in adults with refractory partial seizures. Neurology. 2015; 84(8):810-7. [DOI:10.1212/WNL.0000000000001280] [PMID] [PMCID]
[8] Giacino J, Fins JJ, Machado A, Schiff ND. Central thalamic deep brain stimulation to promote recovery from chronic posttraumatic mini- mally conscious state: Challenges and opportunities. Neuromodula- tion. 2012; 15(4):339-49. [DOI:10.1111/j.1525-1403.2012.00458.x] [PMID]
[9] Molina R, Okun MS, Shute JB, Opri E, Rossi PJ, Martinez-Ramirez D, et al. Report of a patient undergoing chronic responsive deep brain stimulation for tourette syndrome: Proof of concept. Journal of Neu- rosurgery. 2018; 129(2):308-14. [DOI:10.3171/2017.6.jns17626] [PMID] [PMCID]
[10] Shah RS, Chang SY, Min HK, Cho ZH, Blaha CD, Lee KH. Deep brain stimulation: Technology at the cutting edge. Journal of Clinical Neu- rology. 2010; 6(4):167-82. [DOI:10.3988/jcn.2010.6.4.167] [PMID] [PMCID]
[11] Mahlknecht P, Limousin P, Foltynie T. Deep brain stimulation for movement disorders: Update on recent discoveries and outlook on future developments. Journal of Neurology. 2015; 262(11):2583-95. [DOI:10.1007/s00415-015-7790-8] [PMID]
[12] Chen XL, Xiong YY, Xu GL, Liu XF. Deep brain stimulation. Interven- tional Neurology. 2013; 1(3-4):200-12. [DOI:10.1159/000353121] [PMID] [PMCID]
[13] Camargo CH, Cattai L, Teive HA. Pain relief in cervical dysto- nia with botulinum toxin treatment. Toxins. 2015; 7(6):2321-35. [DOI:10.3390/toxins7062321] [PMID] [PMCID]
[2] Klein C. Genetics in dystonia. Parkinsonism Relat Disord. 2014; 20(Suppl 1):S137-42. [DOI:10.1016/S1353-8020(13)70033-6] [PMID]
[3] Destée A, Brique S, Sablonnière B. [Genetic dystonia (French)]. Presse Med. 1999; 28(6):298-305. [PMID]
[4] Larson PS. Deep brain stimulation for movement disorders. Neuro- therapeutics. 2014; 11(3):465-74. [DOI:10.1007/s13311-014-0274- 1] [PMID] [PMCID]
[5] Velisar A, Syrkin-Nikolau J, Blumenfeld Z, Trager MH, Afzal MF, Prabhakar V, et al. Dual threshold neural closed loop deep brain stimulation in Parkinson disease patients. Brain Stimulation. 2019; 12(4):868-76. [DOI:10.1016/j.brs.2019.02.020] [PMID]
[6] Almeida L, Martinez-Ramirez D, Ahmed B, Deeb W, Jesus S, Skinner J, et al. A pilot trial of square biphasic pulse deep brain stimulation for dystonia: The BIP dystonia study. Movement Disorders. 2017; 32(4):615-8. [DOI:10.1002/mds.26906] [PMID]
[7] Bergey GK, Morrell MJ, Mizrahi EM, Goldman A, King-Stephens D, Nair D, et al. Long-term treatment with responsive brain stimulation in adults with refractory partial seizures. Neurology. 2015; 84(8):810-7. [DOI:10.1212/WNL.0000000000001280] [PMID] [PMCID]
[8] Giacino J, Fins JJ, Machado A, Schiff ND. Central thalamic deep brain stimulation to promote recovery from chronic posttraumatic mini- mally conscious state: Challenges and opportunities. Neuromodula- tion. 2012; 15(4):339-49. [DOI:10.1111/j.1525-1403.2012.00458.x] [PMID]
[9] Molina R, Okun MS, Shute JB, Opri E, Rossi PJ, Martinez-Ramirez D, et al. Report of a patient undergoing chronic responsive deep brain stimulation for tourette syndrome: Proof of concept. Journal of Neu- rosurgery. 2018; 129(2):308-14. [DOI:10.3171/2017.6.jns17626] [PMID] [PMCID]
[10] Shah RS, Chang SY, Min HK, Cho ZH, Blaha CD, Lee KH. Deep brain stimulation: Technology at the cutting edge. Journal of Clinical Neu- rology. 2010; 6(4):167-82. [DOI:10.3988/jcn.2010.6.4.167] [PMID] [PMCID]
[11] Mahlknecht P, Limousin P, Foltynie T. Deep brain stimulation for movement disorders: Update on recent discoveries and outlook on future developments. Journal of Neurology. 2015; 262(11):2583-95. [DOI:10.1007/s00415-015-7790-8] [PMID]
[12] Chen XL, Xiong YY, Xu GL, Liu XF. Deep brain stimulation. Interven- tional Neurology. 2013; 1(3-4):200-12. [DOI:10.1159/000353121] [PMID] [PMCID]
[13] Camargo CH, Cattai L, Teive HA. Pain relief in cervical dysto- nia with botulinum toxin treatment. Toxins. 2015; 7(6):2321-35. [DOI:10.3390/toxins7062321] [PMID] [PMCID]
| Files | ||
| Issue | Vol 7 No 1 (2022): January-February | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v7i1.9636 | |
| Keywords | ||
| Globus pallidus Painful generalized dystonia Muscle spasm Muscle relaxants Electrocatheter Brain stimulation | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Coppola C, Magro VM. Deep Brain Stimulation in a Patient with Generalized Dystonia Painful Rebel to the Medical Therapy: A Case Report (Clinical Note). CRCP. 2022;7(1):37-40.
