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Comparison of treatment results between selective peripheral denervation and deep brain stimulation in patients with cervical dystonia.
Stereotact Funct Neurosurg. 2010; 88(4):234-8.SF

Abstract

BACKGROUND/AIMS

Cervical dystonia (CD) is the most common form of focal dystonia. The treatment options for CD include medical therapy and surgery. The 3 basic types of CD are tonic, phasic and tremulous. Selective peripheral denervation (SPD) and globus pallidus internus (GPi) deep brain stimulation (DBS) have been developed as therapeutic options for the treatment of CD.

METHODS

Between 1997 and 2009, 24 patients with CD underwent operations: either SPD (n = 16) or DBS (n = 8). The mean follow-up period was 29.5 months (range = 2-59). The mean age at onset of symptoms was 46.6 years (range = 27-65). The patients were evaluated with the subjective scores and the Toronto Western Spasmodic Torticollis Scale scores.

RESULTS

All patients showed gradual improvement after SPD and DBS. No statistically significant differences were seen between the SPD group and the DBS group. However, there was a trend toward greater pain reduction in the DBS group (p = 0.094).

CONCLUSION

Both the SPD group and the DBS group showed successful improvement in their Toronto Western Spasmodic Torticollis Scale scores as well as subjective scores. The GPi DBS group showed a remarkable improvement on the pain scale and there was a trend toward greater pain reduction in the DBS group.

Authors+Show Affiliations

Department of Neurosurgery, CHA University, Bundang CHA Hospital, Sungnam, Korea.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20460953

Citation

Huh, Ryoong, et al. "Comparison of Treatment Results Between Selective Peripheral Denervation and Deep Brain Stimulation in Patients With Cervical Dystonia." Stereotactic and Functional Neurosurgery, vol. 88, no. 4, 2010, pp. 234-8.
Huh R, Han IB, Chung M, et al. Comparison of treatment results between selective peripheral denervation and deep brain stimulation in patients with cervical dystonia. Stereotact Funct Neurosurg. 2010;88(4):234-8.
Huh, R., Han, I. B., Chung, M., & Chung, S. (2010). Comparison of treatment results between selective peripheral denervation and deep brain stimulation in patients with cervical dystonia. Stereotactic and Functional Neurosurgery, 88(4), 234-8. https://doi.org/10.1159/000314359
Huh R, et al. Comparison of Treatment Results Between Selective Peripheral Denervation and Deep Brain Stimulation in Patients With Cervical Dystonia. Stereotact Funct Neurosurg. 2010;88(4):234-8. PubMed PMID: 20460953.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of treatment results between selective peripheral denervation and deep brain stimulation in patients with cervical dystonia. AU - Huh,Ryoong, AU - Han,In Bo, AU - Chung,MoonYoung, AU - Chung,Sangsup, Y1 - 2010/05/12/ PY - 2009/08/10/received PY - 2010/03/04/accepted PY - 2010/5/13/entrez PY - 2010/5/13/pubmed PY - 2010/10/20/medline SP - 234 EP - 8 JF - Stereotactic and functional neurosurgery JO - Stereotact Funct Neurosurg VL - 88 IS - 4 N2 - BACKGROUND/AIMS: Cervical dystonia (CD) is the most common form of focal dystonia. The treatment options for CD include medical therapy and surgery. The 3 basic types of CD are tonic, phasic and tremulous. Selective peripheral denervation (SPD) and globus pallidus internus (GPi) deep brain stimulation (DBS) have been developed as therapeutic options for the treatment of CD. METHODS: Between 1997 and 2009, 24 patients with CD underwent operations: either SPD (n = 16) or DBS (n = 8). The mean follow-up period was 29.5 months (range = 2-59). The mean age at onset of symptoms was 46.6 years (range = 27-65). The patients were evaluated with the subjective scores and the Toronto Western Spasmodic Torticollis Scale scores. RESULTS: All patients showed gradual improvement after SPD and DBS. No statistically significant differences were seen between the SPD group and the DBS group. However, there was a trend toward greater pain reduction in the DBS group (p = 0.094). CONCLUSION: Both the SPD group and the DBS group showed successful improvement in their Toronto Western Spasmodic Torticollis Scale scores as well as subjective scores. The GPi DBS group showed a remarkable improvement on the pain scale and there was a trend toward greater pain reduction in the DBS group. SN - 1423-0372 UR - https://www.unboundmedicine.com/medline/citation/20460953/Comparison_of_treatment_results_between_selective_peripheral_denervation_and_deep_brain_stimulation_in_patients_with_cervical_dystonia_ L2 - https://www.karger.com?DOI=10.1159/000314359 DB - PRIME DP - Unbound Medicine ER -