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Pallidal deep brain stimulation for dystonia: a case series

Journal title
Journal of neurosurgery. Pediatrics
Publication year
2013
Author(s)
Petrossian, M. T.; Paul, L. R.; Multhaupt-Buell, T. J.; Eckhardt, C.; Hayes, M. T.; Duhaime, A. C.; Eskandar, E. N.; Sharma, N.
Pages
582-7
Volume
12
Number
6

OBJECT: Pallidal deep brain stimulation (DBS) is a treatment option for those with early-onset dystonia. However, there are limited data on long-term outcome and treatment complications. The authors report on the short- and long-term effects of pallidal DBS in a cohort of patients with early-onset dystonia. METHODS: Fourteen consecutive pediatric patients with early-onset dystonia were systematically evaluated and treated. The duration of follow-up ranged from 16 to 84 months. RESULTS: There were no immediate postoperative complications. At last follow-up, 12 of the 14 patients displayed a significant decline in the Burke-Fahn-Marsden Dystonia Rating Scale motor subscale score, with an average decrease of 62% +/- 8.4%. The most common hardware complication was lead fracture (14.3%). CONCLUSIONS: These data provide further evidence that DBS is a safe and effective treatment for those with earlyonset dystonia.

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