Acta Neurochirurgica

, Volume 154, Issue 5, pp 823–830

The long-term surgical outcomes of secondary hemidystonia associated with post-traumatic brain injury

Clinical Article

DOI: 10.1007/s00701-012-1306-4

Cite this article as:
Kim, J.P., Chang, W.S. & Chang, J.W. Acta Neurochir (2012) 154: 823. doi:10.1007/s00701-012-1306-4
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Abstract

Background

The aim was to assess the effect of deep brain stimulation for secondary hemidystonias associated with focal post-traumatic brain injuries.

Methods

Four patients underwent deep brain stimulation for the treatment of medically refractory secondary hemidystonia associated with post-traumatic brain injury. Clinical outcome assessments were based on Burke-Fahn-Marsden Dystonia Rating Scale movement and disability scores. Health-related quality of life was assessed using a 36-item short-form general health survey questionnaire administered preoperatively and at the last follow-up visit.

Results

Burke-Fahn-Marsden Dystonia Rating Scale movement scores had improved by 73.2% (range, 38.1–94.1) and disability scores had improved by 75% (range, 60–100) at the 2-year follow-up visit. The health-related quality of life assessment revealed satisfactory results at follow-up, such that body pain, general health, vitality, social functioning, as well as emotional and mental health improved significantly.

Conclusions

Globus pallidus internus deep brain stimulation can be used to modulate and ameliorate secondary hemidystonia associated with focal post-traumatic brain injury.

Keywords

Deep brain stimulation Globus pallidus internus Hemidystonia Post-traumatic dystonia 

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Joo Pyung Kim
    • 1
  • Won Seok Chang
    • 1
  • Jin Woo Chang
    • 1
  1. 1.Department of Neurosurgery, Severance Hospital, Brain Korea 21 Project for Medical Science, Brain Research InstituteYonsei University College of MedicineSeoulRepublic of Korea

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