Unilateral pallidal deep brain stimulation in a patient with cervical dystonia and tremor

Case report

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Bilateral deep brain stimulation of the globus pallidus pars interna (GPi) is the favored neuromodulation procedure in cases of cervical dystonia. The authors report on a case of unilateral GPi implantation that resulted in sustained benefit with marked improvement in pain and dystonia.

Abbreviations used in this paper: BTX = botulinum toxin; CD = cervical dystonia; DBS = deep brain stimulation; GPi = globus pallidus internus; SCM = sternocleidomastoid; TWSTRS = Toronto Western Spasmodic Torticollis Rating Scale.

Article Information

Address correspondence to: Mojgan Hodaie, M.D., M.Sc., F.R.C.S.C., Division of Neurosurgery, Toronto Western Hospital, 399 Bathurst Street, 4W-443, Toronto, Ontario M5T 2S8, Canada. email: mojgan.hodaie@uhn.on.ca.

Please include this information when citing this paper: published online May 28, 2010; DOI: 10.3171/2010.4.JNS091722.

© AANS, except where prohibited by US copyright law.

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    Postoperative axial T1-weighted (A) and coronal T2-weighted (B) MR images showing the electrode in the lateral GPi.

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