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Neurology 2001;56:268-270
© 2001 American Academy of Neurology
Brief Communications

Chronic thalamic stimulation for treatment of dystonic paroxysmal nonkinesigenic dyskinesia

T.J. Loher, MD, J.K. Krauss, MD, J.-M. Burgunder, MD, E. Taub, MD and J. Siegfried, MD

From the Departments of Neurology (Drs. Loher and Burgunder) and Neurosurgery (Drs. Krauss and Taub), Inselspital, University of Berne, Switzerland; the Department of Neurosurgery (Dr. Siegfried), Klinik im Park, Zurich, Switzerland; and the Department of Neurosurgery (Dr. Krauss), University Hospital, Mannheim, Germany.

Address correspondence and reprint requests to Dr. Joachim K. Krauss, Department of Neurosurgery, University Hospital, Klinikum Mannheim, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany; e-mail: joachim.krauss{at}nch.ma.uni-heidelberg.de

The authors report the effect of chronic stimulation of the ventrointermediate (Vim) thalamus for treatment of dystonic paroxysmal nonkinesigenic dyskinesias (PNKD). A 37-year-old patient had a 4-year history of severe and painful PNKD of the right arm. Chronic stimulation through a stereotactically implanted monopolar electrode in the left Vim resulted in a decrease of the frequency, duration, and intensity of the dystonic paroxysmal movement disorder. The benefit of stimulation has been maintained over 4 years of follow-up.




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 Therapeutic Advances in Neurological DisordersHome page
I. Unterberger and E. Trinka
Review: Diagnosis and treatment of paroxysmal dyskinesias revisited
Therapeutic Advances in Neurological Disorders, September 1, 2008; 1(2): 67 - 74.
[Abstract] [PDF]


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