Deep brain stimulation of the globus pallidus internus has been shown to be beneficial in a small number of patients suffering from axial dystonias. However, it has not yet been reported as an effective treatment for the alleviation of idiopathic head drop. The authors describe a 49-year-old woman with idiopathic cervical dystonia (camptocephalia) who was unable to raise her head > 30° when standing or sitting; her symptoms would abate when lying down. This disabling neurological condition was treated successfully with bilateral chronic electrical stimulation of the globus pallidus internus.
Abbreviations used in this paper: DBS = deep brain stimulation; GPi = globus pallidus internus.
Address correspondence to: Damianos E. Sakas, M.D., Department of Neurosurgery, University of Athens Medical School, Evangelismos General Hospital, 4 Marasli Street, 10676 Athens, Greece. email:
Please include this information when citing this paper: published online December 1, 2008; DOI: 10.3171/2008.9.17659.
SakasDEKouyialisATBoviatsisEJPanouriasIGStathisPTagarisGTechnical aspects and considerations of deep brain stimulation surgery for movement disorders. SakasDESimpsonB: Operative Neuromodulation: Neural Networks SurgeryNew YorkSpringer-Verlag2007. 163–171
SakasDE, KouyialisAT, BoviatsisEJ, PanouriasIG, StathisP, TagarisG, Technical aspects and considerations of deep brain stimulation surgery for movement disorders. SakasDE, SimpsonB: New York, Springer-Verlag, 2007. 163–171)| false