An unusual surgical indication for cerebral tuberculosis: status dystonicus. Case report
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Actual indications for surgery in tuberculosis are limited to obtaining a diagnosis, acquiring tissue for culture studies, treating hydrocephalus, aspiring a brain abscess, and reducing intracranial pressure in patients with multiple tuberculomas. Tuberculosis-related movement disorders are usually treated pharmacologically. We report on a child affected by post-tubercular generalized dystonia, who progressed to status dystonicus (SD) and underwent stereotactic bilateral pallidotomy. After surgery, SD resolved, and drugs were rapidly tapered. The successful reversal of SD and the motor improvement observed in our patient demonstrate the safety, feasibility, and clinical efficacy of pallidotomy in post-tuberculous-meningoencephalitis dystonia and SD.
KeywordsTuberculosis Ablative surgery Status dystonicus Pallidotomy Globus pallidus internus
Deep brain stimulation
Globus pallidus internus
Magnetic resonance imaging
The Burke-Fahn-Marsden dystonia rating scale
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
The patient’s legal guardian has consented to submission of this case report to the journal.
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