Reversal of status dystonicus after relocation of pallidal electrodes in DYT6 generalized dystonia

D. L.Marinus Oterdoom, Martje E. Van Egmond, Luisa Cassini Ascencao, J. Marc C. Van Dijk, Assel Saryyeva, Martijn Beudel, Joachim Runge, Tom J. de Koning, Mahmoud Abdallat, Hendriekje Eggink, Marina A.J. Tijssen, Joachim K. Krauss

Research output: Contribution to journalArticlepeer-review

7 Citations (SciVal)

Abstract

Background: DYT6 dystonia can have an unpredictable clinical course and the result of deep brain stimulation (DBS) of the internal part of the globus pallidus (GPi) is known to be less robust than in other forms of autosomal dominant dystonia. Patients who had previous stereotactic surgery with insufficient clinical benefit form a particular challenge with very limited other treatment options available. Case Report: A pediatric DYT6 patient unexpectedly deteriorated to status dystonicus 1 year after GPi DBS implantation with good initial clinical response. After repositioning the DBS electrodes the status dystonicus resolved. Discussion: This case study demonstrates that medication-resistant status dystonicus in DYT6 dystonia can be reversed by relocation of pallidal electrodes. This case highlights that repositioning of DBS electrodes may be considered in patients with status dystonicus, especially when the electrode position is not optimal, even after an initial clinical response to DBS.

Original languageEnglish
Article number530
Pages (from-to)1-4
Number of pages4
JournalTremor and Other Hyperkinetic Movements
Volume8
DOIs
Publication statusPublished - 2018
Externally publishedYes

Keywords

  • deep brain stimulation
  • DYT6
  • Status dystonicus

Fingerprint

Dive into the research topics of 'Reversal of status dystonicus after relocation of pallidal electrodes in DYT6 generalized dystonia'. Together they form a unique fingerprint.

Cite this