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

Case report

Cristina V. TorresDivision of Neurosurgery, Department of Surgery;

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Elena MoroMovement Disorders Center, Division of Neurology, Toronto Western Hospital, University of Toronto, University Health Network; and

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Jonathan O. DostrovskyDepartments of Physiology and

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William D. HutchisonSurgery, University of Toronto and Toronto Western Research Institute, Toronto Western Hospital, Toronto, Ontario, Canada

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Yu-Yan W. PoonMovement Disorders Center, Division of Neurology, Toronto Western Hospital, University of Toronto, University Health Network; and

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Mojgan HodaieDivision of Neurosurgery, Department of Surgery;

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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.
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