Premium
Globus pallidus deep brain stimulation in dystonia
Author(s) -
Diamond Alan,
Shahed Joohi,
Azher Shaheda,
DatVuong Kevin,
Jankovic Joseph
Publication year - 2006
Publication title -
movement disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.352
H-Index - 198
eISSN - 1531-8257
pISSN - 0885-3185
DOI - 10.1002/mds.20767
Subject(s) - deep brain stimulation , dystonia , globus pallidus , medicine , trunk , rating scale , movement disorders , surgery , anesthesia , psychology , basal ganglia , parkinson's disease , central nervous system , psychiatry , ecology , developmental psychology , disease , biology
Globus pallidus deep brain stimulation (GPi‐DBS) is a useful alternative in the treatment of dystonia. Patients selected for GPi‐DBS were prospectively rated with the Unified Dystonia Rating Scale (UDRS). Also, “blinded” videotape assessments were performed. Eleven patients were identified. Compared with pre‐DBS scores, there were improvements in mean total UDRS score (15.3%) and in the following subscores: neck (18.18%), trunk (32.9%), arm(17.9%), and leg (19.9%). One patient developed a skin infection and erosion requiring surgical debridement. GPi‐DBS is a safe and effective treatment for generalized dystonia in patients who remained impaired, despite optimal medical therapy. © 2005 Movement Disorder Society