Successful Relief of Abdominal Dystonia After Sequential GPi Pallidotomy with 2-Year Follow-Up

Abdominal dystonia is very rare. To our knowledge, no clinical study has reported its specific treatment. Stereotactic therapy has been used to treat several movement disorders, including focal and general dystonia. We investigated the use of internal globus pallidum (GPi) pallidotomy for abdominal...

Full description

Saved in:
Bibliographic Details
Published in:World neurosurgery 2020-12, Vol.144, p.68-70
Main Authors: Fahmi, Achmad, Asadullah, Aji, Yunus Kuntawi, Aprianto, Dirga Rachmad, Subianto, Heri, Turchan, Agus
Format: Article
Language:English
Subjects:
Abdominal dystonia
Abdominal Muscles - diagnostic imaging
Dystonia - diagnostic imaging
Dystonia - surgery
Globus Pallidus - diagnostic imaging
Globus Pallidus - surgery
GPi pallidotomy
Humans
Male
Middle Aged
Pallidotomy - methods
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abdominal dystonia is very rare. To our knowledge, no clinical study has reported its specific treatment. Stereotactic therapy has been used to treat several movement disorders, including focal and general dystonia. We investigated the use of internal globus pallidum (GPi) pallidotomy for abdominal dystonia after failed oral medication. A 48-year-old man presented with abdominal dystonia and complaints of involuntary undulating and contraction movements of his left abdominal wall for 5 years. Treatment with oral medication for 4 years was ineffective. Lesioning of the right GPi successfully relieved his symptoms. The symptoms recurred at 3 months and right GPi pallidotomy was repeated with complete resolution of symptoms after the second procedure. There was no recurrence or focal deficit at the 2-year follow-up. GPi pallidotomy is feasible and effective for the treatment of abdominal dystonia that is resistant to standard medical therapy.
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2020.08.152