• J Clin Neurosci · Jan 2014

    Case Reports

    Deep brain stimulation of the globus pallidus suppresses post-traumatic dystonic tremor.

    • Karen S Carvalho, Vishad V Sukul, Markus J Bookland, Steven A Koch, and Patrick J Connolly.
    • St Christopher's Hospital For Children, Department of Neurology, Philadelphia, PA, USA.
    • J Clin Neurosci. 2014 Jan 1;21(1):153-5.

    AbstractDystonic tremor is an unusual movement disorder that is highly disabling and difficult to treat medically. We describe an 18-year-old patient with dystonic tremor whose medical treatment failed, and was considered for surgery. The patient had a long-standing dystonic tremor and was recommended for globus pallidus (GP) deep brain stimulation. At 2 year follow-up, we observed substantial tremor suppression and best clinical effect with contact three, which, radiographically, is located in the internal globus pallidus/external globus pallidus transition area. The stimulation was more rostral than expected. We conclude that the GP is a potentially useful therapeutic target for dystonic tremor.Copyright © 2013 Elsevier Ltd. All rights reserved.

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