Bilateral pallidal stimulation for cervical dystonia. An optimal paradigm from our experiences.

Abstract:

:We sought to identify optimal paradigms of bilateral globus pallidus internus (GPi) stimulation in 3 subsequent patients with severe cervical dystonia. At low frequency stimulation (50-60 Hz) with wide pulse width (500 micros) and high amplitude (4.5-8.0 V), we observed immediate and consistent improvement of dystonia and dystonia-associated pain. Stimulation of the posteroventral portion of the GPi led to pronounced alleviation of dystonia; stimulation of the anterodorsal portion or at the dorsal border of the GPi resulted in significant worsening of symptoms. The therapeutic benefit obtained by using the optimal stimulation parameters continues and has lasted for at least 1 year in each patient.

authors

Goto S,Mita S,Ushio Y

doi

10.1159/000070835

keywords:

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

221-7

issue

3-4

eissn

1011-6125

issn

1423-0372

pii

70835

journal_volume

79

pub_type

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