Subthalamotomy in cervical dystonia
Standard
Subthalamotomy in cervical dystonia : A case study of lesion location and clinical outcome. / Moll, Christian K E; Hamel, Wolfgang; Ostertag, Christoph B; Müller, Dieter; Finsterbusch, Jürgen; Engel, Andreas K; Münchau, Alexander.
in: MOVEMENT DISORD, Jahrgang 23, Nr. 12, 15.09.2008, S. 1751-6.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Subthalamotomy in cervical dystonia
T2 - A case study of lesion location and clinical outcome
AU - Moll, Christian K E
AU - Hamel, Wolfgang
AU - Ostertag, Christoph B
AU - Müller, Dieter
AU - Finsterbusch, Jürgen
AU - Engel, Andreas K
AU - Münchau, Alexander
N1 - (c) 2007 Movement Disorder Society.
PY - 2008/9/15
Y1 - 2008/9/15
N2 - Here we report a 63-year-old woman with primary cervical dystonia (CD) whose symptoms subsided for more than 30 years following a unilateral stereotactic subthalamotomy contralateral to the overactive left sternocleidomastoid muscle but then gradually recurred over a period of several months. The aim of the present study was to correlate the topography of the stereotactic lesion with the long lasting therapeutic effect. High-resolution magnetic resonance imaging and subsequent stereotactic analysis were performed to determine the anatomical localization of the lesion. The primary coagulation focus comprised the posterior subthalamic white matter in the prelemniscal radiation and field H of Forel. Neighboring structures were implicated to various extents. It is suggested that the posterior subthalamic area, with its abundance of interconnecting fibers and related nuclei, represents an effective target for the neurosurgical treatment of CD that may be explored further with deep brain stimulation.
AB - Here we report a 63-year-old woman with primary cervical dystonia (CD) whose symptoms subsided for more than 30 years following a unilateral stereotactic subthalamotomy contralateral to the overactive left sternocleidomastoid muscle but then gradually recurred over a period of several months. The aim of the present study was to correlate the topography of the stereotactic lesion with the long lasting therapeutic effect. High-resolution magnetic resonance imaging and subsequent stereotactic analysis were performed to determine the anatomical localization of the lesion. The primary coagulation focus comprised the posterior subthalamic white matter in the prelemniscal radiation and field H of Forel. Neighboring structures were implicated to various extents. It is suggested that the posterior subthalamic area, with its abundance of interconnecting fibers and related nuclei, represents an effective target for the neurosurgical treatment of CD that may be explored further with deep brain stimulation.
KW - Female
KW - Humans
KW - Magnetic Resonance Imaging
KW - Middle Aged
KW - Neurologic Examination
KW - Postoperative Period
KW - Subthalamus
KW - Torticollis
U2 - 10.1002/mds.22088
DO - 10.1002/mds.22088
M3 - SCORING: Journal article
C2 - 18709687
VL - 23
SP - 1751
EP - 1756
JO - MOVEMENT DISORD
JF - MOVEMENT DISORD
SN - 0885-3185
IS - 12
ER -