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Efficient internal pallidal stimulation in Gilles de la Tourette syndrome: A case report

✍ Scribed by Nico J. Diederich; Karin Kalteis; Mara Stamenkovic; Vannina Pieri; François Alesch


Publisher
John Wiley and Sons
Year
2005
Tongue
English
Weight
95 KB
Volume
20
Category
Article
ISSN
0885-3185

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✦ Synopsis


Abstract

The usefulness of deep brain stimulation (DBS) of thalamic nuclei in Gilles de la Tourette syndrome (GTS) has recently been advocated. We report on a 14‐month follow‐up study of a patient with intractable GTS in whom bilateral DBS of the internal globus pallidus was carried out. Tic frequency per minute decreased by 73% in the postoperative phase and in particular the vocal tics became less intense. Pronation/ supination bradykinesia of the left extremities was a well‐tolerated, permanent side effect. Pallidal DBS could become a valuable rescue therapy for otherwise intractable GTS. © 2005 Movement Disorder Society


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