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Surgery for other movement disorders: dystonia, tics
1Division of Neurosurgery, Toronto Western Hospital, UHN, Toronto, Ontario, Canada.
Current Opinion in Neurology
|July 11, 2007
Summary
Deep brain stimulation (DBS) effectively treats dystonia and Tourette syndrome. This review highlights surgical outcomes and patient selection for these movement disorders.
Area of Science:
- Neurosurgery
- Neurology
- Movement Disorders
Background:
- Stereotactic procedures, including deep brain stimulation (DBS), are increasingly used for movement disorders.
- Dystonias and tics are significant neurological conditions impacting quality of life.
Purpose of the Study:
- To review the neurosurgical treatment of dystonias and tics.
- To focus on the surgical aspects and outcomes of deep brain stimulation for these conditions.
Main Methods:
- Review of current literature on stereotactic procedures for dystonia and tics.
- Analysis of surgical techniques and outcomes associated with deep brain stimulation.
Main Results:
- Pallidal stimulation is the primary surgical treatment for dystonia, showing 40-80% improvement in various forms.
- Deep brain stimulation for Tourette syndrome demonstrates promising results, with 70-90% reduction in tic frequency.
Conclusions:
- Deep brain stimulation is an established therapy for dystonia and shows promise for Tourette syndrome.
- Further experience will refine patient selection and improve surgical outcomes for these movement disorders.
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