Treatment of idiopathic head drop (camptocephalia) by deep brain stimulation of the globus pallidus internus

Case report

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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.

Article Information

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: sakasde@med.uoa.gr.

Please include this information when citing this paper: published online December 1, 2008; DOI: 10.3171/2008.9.17659.

© AANS, except where prohibited by US copyright law.

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    Preoperative photograph of the patient showing the severity of idiopathic camptocephalia.

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    Photograph of the patient obtained at the 9-month follow-up examination. The patient's excellent clinical outcome remains unaltered, and she has returned to a full range of daily activities.

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