https://scholars.lib.ntu.edu.tw/handle/123456789/520137
標題: | Meige syndrome relieved by bilateral pallidal stimulation with cycling mode: Case report | 作者: | CHUN-HWEI TAI RUEY-MEEI WU HON-MAN LIU Tsai C.-W. SHENG-HONG TSENG |
公開日期: | 2011 | 卷: | 69 | 期: | 6 | 起(迄)頁: | E1333-E1337 | 來源出版物: | Neurosurgery | 摘要: | BACKGROUND AND IMPORTANCE: Deep brain stimulation (DBS) of the bilateral globus pallidus internus (GPi) has been used effectively to treat dystonia. We report a patient with severe Meige syndrome who received bilateral GPi DBS with good improvement in symptoms during the first 24-month stimulation therapy. To decrease energy consumption and to prolong battery life, the stimulation parameters of the replaced programmable pulse generator were adjusted to the cyclic mode and the stimulator was turned off during nighttime sleep. The patient achieved similar good treatment effect with extended battery life in the following years. CLINICAL PRESENTATION: A 66-year-old woman with a 3-year history of severe cranial-cervical dystonia received stereotaxic surgery for bilateral GPi DBS therapy. The Burke-Fahn-Marsden dystonia score improved from 32 to 7.5. The effect lasted up to 24 months after therapy when the battery ran out of life. After careful evaluation, we adjusted the stimulation parameters of the second implantable pulse generator to the cyclic stimulation mode and programmed the stimulator to turn off automatically during nighttime sleep. The patient showed persistent good effect 36 months after starting use of the second implantable pulse generator. CONCLUSION: To treat dystonic symptoms effectively, stimulation parameters with higher energy consumption are usually required. For reducing the discomfort of repeated battery replacement within a short time and decreasing energy consumption in implantable pulse generator, cyclic mode stimulation could be considered in dystonic patients receiving bilateral GPi DBS. Copyright © 2011 by the Congress of Neurological Surgeons. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-80955165927&doi=10.1227%2fNEU.0b013e31822a9ad2&partnerID=40&md5=5ef37ca4d53f11c3abbd25244a214d70 https://scholars.lib.ntu.edu.tw/handle/123456789/520137 |
ISSN: | 0148-396X | DOI: | 10.1227/NEU.0b013e31822a9ad2 | SDG/關鍵字: | aged; article; blepharospasm; brain depth stimulation; brain electrophysiology; case report; cervical dystonia; energy consumption; female; globus pallidus; human; Meige syndrome; microelectrode; night sleep; priority journal; pulse generator; scoring system; spasmodic dysphonia; stereotaxic surgery; treatment outcome; Aged; Deep Brain Stimulation; Female; Globus Pallidus; Humans; Meige Syndrome |
顯示於: | 醫學系 |
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