Pallidal stimulation for generalized dystonia

Report of three cases

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  • 1 Departments of Neurological Surgery and Neurology, University Hospital, Heidelberg College of Medicine, Heidelberg, Germany
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✓ Pallidal stereotactic surgery is a well-accepted treatment alternative for Parkinson's disease. Another indication for this procedure is medically refractory dystonia, especially generalized dystonia with abnormal axial and extremity movements and postures. Improvement of dystonia after pallidotomy has been reported in several recent papers. In this report the authors describe three patients with generalized dystonia (two primary, one secondary) and their improvement after bilateral pallidal stimulation at follow-up times of between 6 and 18 months.

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Contributor Notes

Address reprint requests to: Volker M. Tronnier, M.D., Ph.D., Department of Neurological Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany. email: Volker_Tronnier@med.uni-heidelberg.de.
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