Pallidal deep brain stimulation and intraoperative neurophysiology for treatment of poststroke hemiballism

Authors

Adolfo Ramirez-Zamora
Robert S. Eisinger
Sameah A. Haider, Henry Ford HealthFollow
Youngwon Youn
Damian Shin
Eric S. Molho
Julie G. Pilitsis

Recommended Citation

Ramirez-Zamora A, Eisinger RS, Haider SA, Youn Y, Shin D, Molho ES, and Pilitsis JG. Pallidal deep brain stimulation and intraoperative neurophysiology for treatment of poststroke hemiballism. Ann Clin Transl Neurol 2018; 5(7):865-869.

Document Type

Article

Publication Date

7-1-2018

Publication Title

Ann Clin Transl Neurol

Abstract

Deep brain stimulation is a recognized and effective treatment for several movement disorders. Nevertheless, the efficacy of this intervention on abnormal movements secondary to structural brain pathologies is less consistent. In this report, we describe a case of hemiballism-hemichorea due to a peripartum ischemic stroke-treated with deep brain stimulation of the globus pallidus internus. Patient observed marked improvement in her symptoms at long-term follow-up. Neurophysiologic data revealed lower globus pallidus internus firing rates compared to other hyperkinetic disorders. Pallidal deep brain stimulation is a plausible option for medically refractory hemiballism-hemichorea and cumulative data from multiple centers may be used to fully evaluate its efficacy.

Comments

© authors, original version available at: https://dx.doi.org/10.1002%2Facn3.573. Creative Commons Attribution Non-Commercial No Derivatives License

PubMed ID

30009204

Volume

5

Issue

7

First Page

865

Last Page

869