Türk Nöroşirürji Dergisi 2021 , Vol 31 , Num 3
DBS in Dystonia-Surgical Procedure and Postoperative Management
Tanju UÇAR1
1Akdeniz Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Antalya, Türkiye Dystonia is a movement disorder characterized by sustained or intermittent muscle contractions. Treatment can be classified into oral medications, chemodenervation (botulinum toxin), and surgical intervention. Ablative treatment options such as RF talamotomy, pallidotomy and Deep Brain stimulation (DBS) are the most common surgical interventions. DBS is the most common and powerful surgical option for cases that resist medical treatment. The globus pallidus internus (GPi) is the most common target for surgery. The posteroventral GPI is the best target for DBS, but the best location of the electrode in the GPI is still controversial. Primary generalized dystonias, which are positive for the DYT gene, are the best candidates for DBS. Infections are a relatively common complication in DBS surgery. Anahtar Kelimeler : Dystonia, Deep brain stimulation, Surgery