Medicina, Vol. 56 No. 2, 2020.
Ostalo
https://doi.org/10.21860/medflum2020_237306
Long term tracking of pallidal deep brain stimulation used in generalized dystonia – case report
Ena Šukunda
orcid.org/0000-0002-5658-5365
; Medicinski fakultet Sveučilišta u Rijeci, Rijeka, Hrvatska
Vladimira Vuletić
; Medicinski fakultet Sveučilišta u Rijeci, Rijeka, Hrvatska
Fadi Almahariq
; Zavod za neurokirurgiju, KB Dubrava, Zagreb, Hrvatska
Darko Chudy
; Zavod za neurokirurgiju, KB Dubrava, Zagreb, Hrvatska
Sažetak
Aim: Generalized dystonia is characterized by involuntary muscle contractions leading to abnormal postures and repetitive movements. Deep brain stimulation (DBS) is effective in medication-refractory dystonia, but there is a lack of studies about long-term effect. The goal of this case report is to show long-term effect in a patient with generalized dystonia treated with DBS. Case report: We present a case of a 29-years-old patient with isolated generalized dystonia. At birth, peripheral facial palsy was noticed which was attributed to cerebral paralysis. First symptoms noticed at 7-years-old were problems with handwriting due to hand spasms. At 15, speech problems started and dystonia of his hand worsened. Then, dystonic movements and postures gradually expanded causing walking problems and poor quality of life. Symptoms did not improve with available medications and at the age of 21 electrodes were implanted into basal ganglia which extremely improved his dystonic movements, posture and gait. After the surgery, during these eight years, the patient was regularly controlled, electrodes were reprogramed with continuous physical and speech therapy. Twice he presented with returned complete clinical presentation due to the empty battery of the neurostimulator that was replaced first with a non-rechargeable and then with a rechargeable battery leading to complete improvement. Conclusion: Idiopathic dystonia is often unrecognized. Although, DBS is a safe and effective method, it is not used enough for treating medication-refractory dystonia. Our case has shown persistent and excellent effect of DBS on generalized dystonia and patients’ quality of life over a long period of time.
Ključne riječi
deep brain stimulation; dystonia; long-term effect
Hrčak ID:
237306
URI
Datum izdavanja:
1.6.2020.
Posjeta: 1.444 *