Turkish Neurosurgery 2013 , Vol 23 , Num 1
Pallidal Deep Brain Stimulation in a 5-Year-Old Child with Dystonic Storm: Case Report
Sabri AYDIN1, Bashar ABUZAYED1, Serap UYSAL2, Olcay UNVER2, Mustafa UZAN1, Murat MENGI3, Osman KIZILKILIC4, Murat HANCI1
1Istanbul University, Cerrahpasa Faculty of Medicine, Department of Neurosurgery, Istanbul, Turkey
2Istanbul University, Cerrahpasa Faculty of Medicine, Department of Pediatrics, Division of Pediatric Neurology, Istanbul, Turkey
3Istanbul University, Cerrahpasa Faculty of Medicine, Department of Physiology, Istanbul, Turkey
4Istanbul University, Cerrahpasa Faculty of Medicine, Department of Radiology, Division of Neuroradiology, Istanbul, Turkey
DOI : 10.5137/1019-5149.JTN.4579-11.0 A 5-year-old child had a medical history of epilepsy and a newly presented mental retardation with a life-threatening dystonic storm. Neuroimagings showed bilateral calcification of the pallidum. Several treatment modalities were performed, but the symptoms showed no significant improvement. The patient was operated on in order to place a deep brain stimulation (DBS) targeting bilateral globus pallidum internus (GPi). The dystonia showed a remarkable improvement after surgery, with 81% reduction of dystonia severity after 15 months. To our best knowledge, this is the youngest patient mentioned in the literature to be treated with DBS, which was also life-saving in this case. Keywords : Deep brain stimulation, Dystonia, Movement disorders, Pediatric neurology, Status dystonicus
Corresponding author : Bashar Abuzayed, sylvius@live.com