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Vol. 88, No. 4, 2010
Issue release date: July 2010
Section title: Clinical Study
Stereotact Funct Neurosurg 2010;88:234–238
(DOI:10.1159/000314359)

Comparison of Treatment Results between Selective Peripheral Denervation and Deep Brain Stimulation in Patients with Cervical Dystonia

Huh R. · Han I.B. · Chung M. · Chung S.
Department of Neurosurgery, CHA University, Bundang CHA Hospital, Sungnam, Korea

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Article / Publication Details

First-Page Preview
Abstract of Clinical Study

Received: 8/10/2009
Accepted: 3/4/2010
Published online: 5/12/2010

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 5

ISSN: 1011-6125 (Print)
eISSN: 1423-0372 (Online)

For additional information: http://www.karger.com/SFN

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.


  

Author Contacts

R. Huh
Department of Neurosurgery, CHA University
Bundang CHA Hospital, 351 Yatap-dong
Bundang-gu, Sungnam 463-712 (Korea)
Tel. +82 31 780 5260, Fax +82 31 780 5269, E-Mail nshanib@naver.com

  

Article Information

Received: August 10, 2009
Accepted after revision: March 4, 2010
Published online: May 12, 2010
Number of Print Pages : 5
Number of Figures : 0, Number of Tables : 5, Number of References : 20

  

Publication Details

Stereotactic and Functional Neurosurgery

Vol. 88, No. 4, Year 2010 (Cover Date: July 2010)

Journal Editor: Roberts D.W. (Lebanon, N.H.)
ISSN: 1011-6125 (Print), eISSN: 1423-0372 (Online)

For additional information: http://www.karger.com/SFN


Article / Publication Details

First-Page Preview
Abstract of Clinical Study

Received: 8/10/2009
Accepted: 3/4/2010
Published online: 5/12/2010

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 5

ISSN: 1011-6125 (Print)
eISSN: 1423-0372 (Online)

For additional information: http://www.karger.com/SFN


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