Poststroke fixed dystonia of the foot relieved by chronic stimulation of the posterior limb of the internal capsule.

Abstract:

:The authors report the case of an adult patient with irreducible fixed dystonia (inward rotation) of the right foot that arose after cardioembolic ischemia of the left putamen and globus pallidus externus. Given the resistance of such symptomatology to all of the attempted conservative treatments (including botulinum toxin), the authors decided to perform deep brain stimulation, positioning the intracerebral electrode in the left internal capsule at the level of the motor fibers controlling the right foot, as confirmed by intraoperative electromyography. After the intervention, the patient was able to perform voluntary movements of outward rotation and abduction in the right foot and begin gait rehabilitation. Deep brain stimulation of the posterior limb of the internal capsule could be an alternative target used to treat poststroke fixed dystonic conditions.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Franzini A,Messina G,Marras C,Molteni F,Cordella R,Soliveri P,Broggi G

doi

10.3171/2009.4.JNS08785

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

1216-9

issue

6

eissn

0022-3085

issn

1933-0693

journal_volume

111

pub_type

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