Fahr's disease (FD) is a rare movement disorder characterized by bilateral intracranial calcifications that is refractory to most treatments. We present the case of a 26-year-old male with FD who was unable to walk independently and could not eat solid food because of poor swallowing capability and severe cervical dystonia. Injections of botulin toxin into the neck muscles, as well as biperiden, tiapride, amantadine, L-dopa and clonazepam were ineffective. Deep brain stimulation (DBS) was performed with two permanent electrodes containing four contact sites implanted bilaterally into the subthalamic nucleus (STN). The antidystonic effect was evident immediately after STN stimulation, and it was sustained during a 24-month follow-up period. There was a marked reduction of cervical dystonia, and he could eat solid food and was able to walk independently. This case demonstrates that DBS of the STN can be effective for the treatment of dystonia associated with FD.
基金:
Beijing Nova ProgramBeijing Municipal Science & Technology Commission [2008B43]; Research Fund of Capital Medical Development [2009-1039]; Beijing Outstanding Talents [2011D003034000019]
第一作者机构:[1]Capital Med Univ, Dept Funct Neurosurg, Beijing Neurosurg Inst, Beijing 100050, Peoples R China;
通讯作者:
通讯机构:[1]Capital Med Univ, Dept Funct Neurosurg, Beijing Neurosurg Inst, Beijing 100050, Peoples R China;[2]Capital Med Univ, Dept Neurosurg, Beijing Tiantan Hosp, Beijing 100050, Peoples R China;[3]Capital Med Univ, Dept Neurosurg, Beijing Tiantan Hosp, 6 Beijing Tiantan Xili, Beijing 100050, Peoples R China
推荐引用方式(GB/T 7714):
Ma Yu,Ge Ming,Meng Fangang,et al.Bilateral deep brain stimulation of the subthalamic nucleus effectively relieves dystonia secondary to Fahr's disease: a case report[J].INTERNATIONAL JOURNAL OF NEUROSCIENCE.2013,123(8):582-586.doi:10.3109/00207454.2013.772611.
APA:
Ma, Yu,Ge, Ming,Meng, Fangang,Zhang, Kai&Zhang, Jianguo.(2013).Bilateral deep brain stimulation of the subthalamic nucleus effectively relieves dystonia secondary to Fahr's disease: a case report.INTERNATIONAL JOURNAL OF NEUROSCIENCE,123,(8)
MLA:
Ma, Yu,et al."Bilateral deep brain stimulation of the subthalamic nucleus effectively relieves dystonia secondary to Fahr's disease: a case report".INTERNATIONAL JOURNAL OF NEUROSCIENCE 123..8(2013):582-586