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Long-term benefit to pallidal deep brain stimulation in a case of dystonia secondary to pantothenate kinase-associated neurodegeneration

✍ Scribed by Martin Krause; Wolfgang Fogel; Volker Tronnier; Sabine Pohle; Konstanze Hörtnagel; Ute Thyen; Jens Volkmann


Publisher
John Wiley and Sons
Year
2006
Tongue
English
Weight
94 KB
Volume
21
Category
Article
ISSN
0885-3185

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✦ Synopsis


Abstract

Pantothenate kinase‐associated neurodegeneration (PKAN) is a rare autosomal recessive disorder with onset in childhood and rapid progression. There is no causative and insufficient symptomatic drug therapy. Deep brain stimulation (DBS) of the internal pallidum (GPi) has been reported to improve motor function. Most case reports, however, are limited to short observational periods. The impact of DBS on the progression and life expectancy in PKAN is unknown. We present a 5‐year outcome and video documentation of bilateral GPi‐DBS of an adolescent patient suffering from genetically defined PKAN. © 2006 Movement Disorder Society