Deep Brain Stimulation for the Treatment of Hemichorea: Case Series and Literature Review

被引:1
|
作者
Masood, Zihan [1 ]
Domino, Joseph S. [1 ]
Gragg, Antonia [2 ]
Burchiel, Kim [2 ]
Kinsman, Michael [1 ]
Sharma, Vibhash D. [3 ]
机构
[1] Univ Kansas, Dept Neurosurg, Med Ctr, Kansas City, KS USA
[2] Oregon Hlth & Sci Univ, Dept Neurol Surg, Portland, OR USA
[3] Univ Texas Southwestern Med Ctr Dallas, Dept Neurol, Dallas, TX USA
关键词
Hemiballismus; deep brain stimulation; hyperkinetic movement disorder; NONKETOTIC HYPERGLYCEMIA; HEMIBALLISMUS; HEMIDYSTONIA; STROKE;
D O I
10.5334/tohm.765
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Hemichorea (HC) and its severe form hemiballismus (HB) are rare movement disorders which can be medically refractory to treatments and may need surgical intervention. Case Report: We report 3 patients with HC-HB who had meaningful clinical improvement with unilateral deep brain stimulation (DBS) of the globus pallidus interna (GPi). We identified 8 prior cases of HC-HB treated with GPi-DBS, and a majority of these patients experienced significant improvement in their symptoms. Discussion: GPi-DBS can be considered in medically refractory HC-HB in carefully selected patients. However, data is limited to small case series and further studies are needed.
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页数:8
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