Stereotactic Radiofrequency Deep Brain Lesioning in Treatment of Dystonia

• Published in: Ankara Ueniversitesi Tip Fakültesi mecmuasi 2019-08, Vol.72 (2), p.209-213
• Main Authors: Eroğlu, Ümit, Akbostancı, Muhittin Cenk, Savaş, Ali
• Format: Article
• Language: eng ; tur
• Subjects: Deep brain stimulation; Dystonia; Encephalitis; Hypoxia; Magnetic resonance imaging; Movement disorders; Multiple sclerosis; Muscle contraction; Patients; Sağlık Hizmetleri; Stroke; Surgery; Surgical outcomes; Tıp; Tremor (Muscular contraction)
• ISSN: 1307-5608; 0365-8104; 1307-5608
• DOI: 10.4274/atfm.galenos.2019.51523

Objectives: Movement disorders are neurologic diseases that affect speed, quality and feasibility of muscle contractions. Aim of this study is, to assess the surgical outcomes of radiofrequency lesioning through deep brain stimulation (DBS) in a group of patients and comparing these results to the formerly known conventional procedures. Materials and Methods: This study involved 25 dystonia patients in whom radiofrequency lesioning through DBS procedures were performed between 1997 and 2003. All of the patients were examined by the same neurologist and examined due to UPDRS, Fahn-Burke-Marsden dystonia rating scales pre and post operatively. Results: Eighteen male (72%) and seven female (28%) patients (range=14-65 years, mean=26.6 years) with diagnosis of general dystonia (n=11,44%), hemidystonia (n=8, 34%) and dystonic tremor (n=6, 24%) enrolled in the study. Twenty patients with secondary dystonia involved 18 cerebral palsies, one multiple sclerosis and one poststroke dystonia cases. Conclusion: Gpi DBS seems to be a more considerable approach for primary dystonia patients. Radiofrequency deep brain lesioning can be defined as a successful method for secondary dystonia treatment and must be implicated among treatment options.