广泛性肌张力障碍患者双侧苍白球深部脑刺激后步态冻结的研究

M. Moscovich
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引用次数: 0

摘要

深部脑刺激(DBS)是治疗药物难治性肌张力障碍的一种安全、长期有效的治疗方法。然而,可能会出现并发症和副作用。步态冻结(FOG)在肌张力障碍患者中是一种罕见的现象,尽管这种并发症在帕金森病(PD)患者中非常常见。FOG可以致残,并可能严重损害生活质量,即使是发作性的。本章报告了一例49岁的左撇子男性,表现为FOG,平衡障碍和行走困难。这些问题出现在双侧GPi DBS治疗原发性全身性肌张力障碍成功3年后。
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Freezing of Gait After Bilateral Globus Pallidus Interna Deep Brain Stimulation in Generalized Dystonia
Deep brain stimulation (DBS) of the globus pallidus internus (GPi) is a safe and long-term effective treatment for medication-refractory dystonia. However, complications and side effects may occur. Freezing of gait (FOG) is a rare phenomenon in patients with dystonia, although very frequently this complication is observed in patients with Parkinson disease (PD). FOG can be disabling and may severely impair quality of life, even when episodic. This chapter reports on a case of a 49-year-old left-handed man presenting with FOG, impairment in balance, and walking difficulty. These issues emerged 3 years after successful bilateral GPi DBS for primary generalized dystonia.
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