Bilateral pallidal deep brain stimulation in primary Meige syndrome
Abstract Primary Meige syndrome is an idiopathic movement disorder that manifests as craniofacial and often cervical dystonias. Deep brain stimulation (DBS) of the globus pallidus internus (GPi) has emerged as a powerful surgical option in the treatment of primary generalized or segmental dystonia....
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| Veröffentlicht in: | Parkinsonism & related disorders 2011-02, Vol.17 (2), p.123-125 |
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| creator | Sako, Wataru Morigaki, Ryoma Mizobuchi, Yoshifumi Tsuzuki, Takashi Ima, Hiroyuki Ushio, Yukitaka Nagahiro, Shinji Kaji, Ryuji Goto, Satoshi |
| description | Abstract Primary Meige syndrome is an idiopathic movement disorder that manifests as craniofacial and often cervical dystonias. Deep brain stimulation (DBS) of the globus pallidus internus (GPi) has emerged as a powerful surgical option in the treatment of primary generalized or segmental dystonia. However, the experience with GPi-DBS in Meige syndrome is limited. We followed 5 patients with disabling Meige syndrome treated by bilateral GPi-DBS for 49 ± 43.7 (mean ± SD) months. All patients were assessed before surgery and at the last follow-up after surgery using the Burke-Fahn-Marsden Dystonia Rating Scale (BFMDRS) which includes both the movement and disability scales. Bilateral GPi-DBS produced a sustained and long-lasting improvement in dystonia symptoms associated with Meige syndrome. At the last follow-up, the mean scores of BFMDRS movement and disability scales improved significantly by 84 ± 6.8% (range, 75–94%) and 89 ± 8.1% (range, 80–100%), respectively. Bilateral pallidal stimulation is a beneficial therapeutic option for long-term relief of the disabling dystonia symptoms in Meige syndrome. |
| doi_str_mv | 10.1016/j.parkreldis.2010.11.013 |
| format | Article |
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Deep brain stimulation (DBS) of the globus pallidus internus (GPi) has emerged as a powerful surgical option in the treatment of primary generalized or segmental dystonia. However, the experience with GPi-DBS in Meige syndrome is limited. We followed 5 patients with disabling Meige syndrome treated by bilateral GPi-DBS for 49 ± 43.7 (mean ± SD) months. All patients were assessed before surgery and at the last follow-up after surgery using the Burke-Fahn-Marsden Dystonia Rating Scale (BFMDRS) which includes both the movement and disability scales. Bilateral GPi-DBS produced a sustained and long-lasting improvement in dystonia symptoms associated with Meige syndrome. At the last follow-up, the mean scores of BFMDRS movement and disability scales improved significantly by 84 ± 6.8% (range, 75–94%) and 89 ± 8.1% (range, 80–100%), respectively. Bilateral pallidal stimulation is a beneficial therapeutic option for long-term relief of the disabling dystonia symptoms in Meige syndrome.</description><identifier>ISSN: 1353-8020</identifier><identifier>EISSN: 1873-5126</identifier><identifier>DOI: 10.1016/j.parkreldis.2010.11.013</identifier><identifier>PMID: 21147544</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Aged ; Deep brain stimulation ; Deep Brain Stimulation - methods ; Dystonia ; Female ; Globus Pallidus - physiology ; Globus pallidus internus ; Humans ; Male ; Meige syndrome ; Meige Syndrome - physiopathology ; Meige Syndrome - therapy ; Middle Aged ; Neurology ; Treatment Outcome</subject><ispartof>Parkinsonism & related disorders, 2011-02, Vol.17 (2), p.123-125</ispartof><rights>Elsevier Ltd</rights><rights>2010 Elsevier Ltd</rights><rights>Copyright © 2010 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-b1c50cc7526bc4459c64285759ea58577e13b29a42578cf8fe870456d4e98bac3</citedby><cites>FETCH-LOGICAL-c460t-b1c50cc7526bc4459c64285759ea58577e13b29a42578cf8fe870456d4e98bac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1353802010002932$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21147544$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sako, Wataru</creatorcontrib><creatorcontrib>Morigaki, Ryoma</creatorcontrib><creatorcontrib>Mizobuchi, Yoshifumi</creatorcontrib><creatorcontrib>Tsuzuki, Takashi</creatorcontrib><creatorcontrib>Ima, Hiroyuki</creatorcontrib><creatorcontrib>Ushio, Yukitaka</creatorcontrib><creatorcontrib>Nagahiro, Shinji</creatorcontrib><creatorcontrib>Kaji, Ryuji</creatorcontrib><creatorcontrib>Goto, Satoshi</creatorcontrib><title>Bilateral pallidal deep brain stimulation in primary Meige syndrome</title><title>Parkinsonism & related disorders</title><addtitle>Parkinsonism Relat Disord</addtitle><description>Abstract Primary Meige syndrome is an idiopathic movement disorder that manifests as craniofacial and often cervical dystonias. Deep brain stimulation (DBS) of the globus pallidus internus (GPi) has emerged as a powerful surgical option in the treatment of primary generalized or segmental dystonia. However, the experience with GPi-DBS in Meige syndrome is limited. We followed 5 patients with disabling Meige syndrome treated by bilateral GPi-DBS for 49 ± 43.7 (mean ± SD) months. All patients were assessed before surgery and at the last follow-up after surgery using the Burke-Fahn-Marsden Dystonia Rating Scale (BFMDRS) which includes both the movement and disability scales. Bilateral GPi-DBS produced a sustained and long-lasting improvement in dystonia symptoms associated with Meige syndrome. At the last follow-up, the mean scores of BFMDRS movement and disability scales improved significantly by 84 ± 6.8% (range, 75–94%) and 89 ± 8.1% (range, 80–100%), respectively. Bilateral pallidal stimulation is a beneficial therapeutic option for long-term relief of the disabling dystonia symptoms in Meige syndrome.</description><subject>Aged</subject><subject>Deep brain stimulation</subject><subject>Deep Brain Stimulation - methods</subject><subject>Dystonia</subject><subject>Female</subject><subject>Globus Pallidus - physiology</subject><subject>Globus pallidus internus</subject><subject>Humans</subject><subject>Male</subject><subject>Meige syndrome</subject><subject>Meige Syndrome - physiopathology</subject><subject>Meige Syndrome - therapy</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Treatment Outcome</subject><issn>1353-8020</issn><issn>1873-5126</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUuP1DAMgCMEYpeFv4B649TBzqvpBYkd8ZIWcQDOUZp6UGbTB0mLNP-eVDOAxAVOdqLPtvyZsQphh4D65XE3u3SfKPYh7zhs37gDFA_YNZpG1Aq5flhyoURtgMMVe5LzEQAaBeIxu-KIslFSXrP9bYhuoeRiNbsYQ1-SnmiuuuTCWOUlDGsBwjRW5TmnMLh0qj5S-EZVPo19mgZ6yh4dXMz07BJv2Ne3b77s39d3n9592L--q73UsNQdegXeN4rrzkupWq8lN6pRLTlVYkMoOt46yVVj_MEcyDQgle4ltaZzXtywF-e-c5q-r5QXO4TsKUY30rRm2yqpUQnR_pM0CpTGFnQhzZn0aco50cFedrQIdnNtj_aPa7u5toi2uC6lzy9D1m6g_nfhL7kFuD0DVKT8CJRs9oFGT31I5BfbT-F_prz6q4mPYQzexXs6UT5OaxqLdIs2cwv283bz7eRYrs1bwcVPzEWpBA</recordid><startdate>20110201</startdate><enddate>20110201</enddate><creator>Sako, Wataru</creator><creator>Morigaki, Ryoma</creator><creator>Mizobuchi, Yoshifumi</creator><creator>Tsuzuki, Takashi</creator><creator>Ima, Hiroyuki</creator><creator>Ushio, Yukitaka</creator><creator>Nagahiro, Shinji</creator><creator>Kaji, Ryuji</creator><creator>Goto, Satoshi</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>20110201</creationdate><title>Bilateral pallidal deep brain stimulation in primary Meige syndrome</title><author>Sako, Wataru ; Morigaki, Ryoma ; Mizobuchi, Yoshifumi ; Tsuzuki, Takashi ; Ima, Hiroyuki ; Ushio, Yukitaka ; Nagahiro, Shinji ; Kaji, Ryuji ; Goto, Satoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-b1c50cc7526bc4459c64285759ea58577e13b29a42578cf8fe870456d4e98bac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Deep brain stimulation</topic><topic>Deep Brain Stimulation - methods</topic><topic>Dystonia</topic><topic>Female</topic><topic>Globus Pallidus - physiology</topic><topic>Globus pallidus internus</topic><topic>Humans</topic><topic>Male</topic><topic>Meige syndrome</topic><topic>Meige Syndrome - physiopathology</topic><topic>Meige Syndrome - therapy</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sako, Wataru</creatorcontrib><creatorcontrib>Morigaki, Ryoma</creatorcontrib><creatorcontrib>Mizobuchi, Yoshifumi</creatorcontrib><creatorcontrib>Tsuzuki, Takashi</creatorcontrib><creatorcontrib>Ima, Hiroyuki</creatorcontrib><creatorcontrib>Ushio, Yukitaka</creatorcontrib><creatorcontrib>Nagahiro, Shinji</creatorcontrib><creatorcontrib>Kaji, Ryuji</creatorcontrib><creatorcontrib>Goto, Satoshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Parkinsonism & related disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sako, Wataru</au><au>Morigaki, Ryoma</au><au>Mizobuchi, Yoshifumi</au><au>Tsuzuki, Takashi</au><au>Ima, Hiroyuki</au><au>Ushio, Yukitaka</au><au>Nagahiro, Shinji</au><au>Kaji, Ryuji</au><au>Goto, Satoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral pallidal deep brain stimulation in primary Meige syndrome</atitle><jtitle>Parkinsonism & related disorders</jtitle><addtitle>Parkinsonism Relat Disord</addtitle><date>2011-02-01</date><risdate>2011</risdate><volume>17</volume><issue>2</issue><spage>123</spage><epage>125</epage><pages>123-125</pages><issn>1353-8020</issn><eissn>1873-5126</eissn><abstract>Abstract Primary Meige syndrome is an idiopathic movement disorder that manifests as craniofacial and often cervical dystonias. Deep brain stimulation (DBS) of the globus pallidus internus (GPi) has emerged as a powerful surgical option in the treatment of primary generalized or segmental dystonia. However, the experience with GPi-DBS in Meige syndrome is limited. We followed 5 patients with disabling Meige syndrome treated by bilateral GPi-DBS for 49 ± 43.7 (mean ± SD) months. All patients were assessed before surgery and at the last follow-up after surgery using the Burke-Fahn-Marsden Dystonia Rating Scale (BFMDRS) which includes both the movement and disability scales. Bilateral GPi-DBS produced a sustained and long-lasting improvement in dystonia symptoms associated with Meige syndrome. At the last follow-up, the mean scores of BFMDRS movement and disability scales improved significantly by 84 ± 6.8% (range, 75–94%) and 89 ± 8.1% (range, 80–100%), respectively. Bilateral pallidal stimulation is a beneficial therapeutic option for long-term relief of the disabling dystonia symptoms in Meige syndrome.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>21147544</pmid><doi>10.1016/j.parkreldis.2010.11.013</doi><tpages>3</tpages></addata></record> |
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| subjects | Aged Deep brain stimulation Deep Brain Stimulation - methods Dystonia Female Globus Pallidus - physiology Globus pallidus internus Humans Male Meige syndrome Meige Syndrome - physiopathology Meige Syndrome - therapy Middle Aged Neurology Treatment Outcome |
| title | Bilateral pallidal deep brain stimulation in primary Meige syndrome |
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