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Acta Neurochirurgica

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01.01.2016 | Clinical Article - Functional

Different clinical course of pallidal deep brain stimulation for phasic- and tonic-type cervical dystonia

verfasst von: Moonyoung Chung, Ryoong Huh

Erschienen in: Acta Neurochirurgica | Ausgabe 1/2016

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Abstract

Background

Dystonia has been treated well using deep brain stimulation at the globus pallidus internus (GPi DBS). Dystonia can be categorized as two basic types of movement, phasic-type and tonic-type. Cervical dystonia is the most common type of focal dystonia, and sequential differences in clinical outcomes between phasic-type and tonic-type cervical dystonia have not been reported.

Methods

This study included a retrospective cohort of 30 patients with primary cervical dystonia who underwent GPi DBS. Age, disease duration, dystonia direction, movement types, employment status, relevant life events, and neuropsychological examinations were analyzed with respect to clinical outcomes following GPi DBS.

Results

The only significant factor affecting clinical outcomes was movement type (phasic or tonic). Sequential changes in clinical outcomes showed significant differences between phasic- and tonic-type cervical dystonia. A delayed benefit was found in both phasic- and tonic-type dystonia.

Conclusions

The clinical outcome of phasic-type cervical dystonia is more favorable than that of tonic-type cervical dystonia following GPi DBS.

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Titel: Different clinical course of pallidal deep brain stimulation for phasic- and tonic-type cervical dystonia
verfasst von: Moonyoung Chung
Ryoong Huh
Publikationsdatum: 01.01.2016
Verlag: Springer Vienna
Erschienen in: Acta Neurochirurgica / Ausgabe 1/2016
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-015-2646-7

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Different clinical course of pallidal deep brain stimulation for phasic- and tonic-type cervical dystonia

Abstract

Background

Methods

Results

Conclusions

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Springer Medizin

Abstract

Background

Methods

Results

Conclusions

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