Seven-year resolution of cervical dystonia after unilateral pallidotomy: A case report.
Cervical dystonia
Globus pallidus internus
Pallidotomy
Journal
Surgical neurology international
ISSN: 2229-5097
Titre abrégé: Surg Neurol Int
Pays: United States
ID NLM: 101535836
Informations de publication
Date de publication:
2022
2022
Historique:
received:
12
09
2022
accepted:
26
11
2022
entrez:
5
1
2023
pubmed:
6
1
2023
medline:
6
1
2023
Statut:
epublish
Résumé
Reports on the long-term effects of pallidotomy for cervical dystonia remain scarce. We report a case of cervical dystonia successfully treated by unilateral pallidotomy. The patient was a 29-year-old man without past medical and family history of cervical dystonia. At the age of 28 years, neck rotation to the right with right shoulder elevation developed and gradually became worse. After symptoms failed to respond to repetitive botulinum toxin injections and oral medications, he underwent left pallidotomy, which resulted in significant improvement of cervical dystonia and shoulder elevation without surgical complications. At the 3-month evaluation, the symptoms completely improved. The Toronto Western Spasmodic Torticollis Rating Scale score dramatically improved from 39 points before surgery to 0 points at 7-year postoperative evaluation. This case suggests that unilateral pallidotomy can be an alternative treatment option for cervical dystonia.
Sections du résumé
Background
UNASSIGNED
Reports on the long-term effects of pallidotomy for cervical dystonia remain scarce.
Case Description
UNASSIGNED
We report a case of cervical dystonia successfully treated by unilateral pallidotomy. The patient was a 29-year-old man without past medical and family history of cervical dystonia. At the age of 28 years, neck rotation to the right with right shoulder elevation developed and gradually became worse. After symptoms failed to respond to repetitive botulinum toxin injections and oral medications, he underwent left pallidotomy, which resulted in significant improvement of cervical dystonia and shoulder elevation without surgical complications. At the 3-month evaluation, the symptoms completely improved. The Toronto Western Spasmodic Torticollis Rating Scale score dramatically improved from 39 points before surgery to 0 points at 7-year postoperative evaluation.
Conclusion
UNASSIGNED
This case suggests that unilateral pallidotomy can be an alternative treatment option for cervical dystonia.
Identifiants
pubmed: 36600748
doi: 10.25259/SNI_840_2022
pii: 10.25259/SNI_840_2022
pmc: PMC9805625
doi:
Types de publication
Case Reports
Langues
eng
Pagination
586Informations de copyright
Copyright: © 2022 Surgical Neurology International.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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