Combined Therapy of Orthopedic Surgery after Deep Brain Stimulation in Cerebral Palsy Mixed Type: A Case Report.
10.5535/arm.2011.35.5.742
- Author:
Hong Souk PARK
1
;
Eun Sook PARK
;
Jin Woo CHANG
;
Ki Seok LEE
;
Young Joo SUH
;
Sung Rae CHO
Author Information
1. Department & Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 120-752, Korea. srcho918@yuhs.ac
- Publication Type:Case Report
- Keywords:
Dystonia;
Deep brain stimulation;
Cerebral palsy
- MeSH:
Cerebral Palsy;
Congenital Abnormalities;
Contracts;
Deep Brain Stimulation;
Dystonia;
Dystonic Disorders;
Gait;
Globus Pallidus;
Humans;
Movement Disorders;
Muscle Spasticity;
Muscles;
Orthopedics;
Parkinson Disease
- From:Annals of Rehabilitation Medicine
2011;35(5):742-746
- CountryRepublic of Korea
- Language:English
-
Abstract:
Dystonia is a symptom defined by involuntary and irregular contractions of the muscles, which cause movement disorders and postural problems. Deep brain stimulation (DBS) in globus pallidus interna (GPi) is a good option for controlling dystonia. DBS has already been shown to have significant effects on primary dystonia as well as Parkinson's disease. Dystonia is very difficult to manage, as seen in cerebral palsy (CP) mixed with spasticity. As CP patients grow, their musculoskeletal problems may require orthopedic surgery. However, the outcome of orthopedic surgery is not usually suitable due to dystonia. Therefore, we attempted to control dystonia through DBS initially and perform orthopedic surgery to correct musculoskeletal deformities after treatment of dystonia. Herein, we report a case that showed remarkable improvement in terms of the dystonia rating scale and gait pattern after combined therapy of DBS and orthopedic surgery.
