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Hyperkinetic movement disorder in an 11-year-old child treated with bilateral pallidal stimulators

Published online by Cambridge University Press:  31 May 2001

S Gill ,
A Curran ,
J Tripp ,
L Melarickas ,
C Hurran  and
O Stanley
S Gill
Affiliation:
Department of Neurosurgery and Department of Paediatric Neuroscience, Frenchay Hospital, Bristol, UK.
A Curran
Affiliation:
Department of Neurosurgery and Department of Paediatric Neuroscience, Frenchay Hospital, Bristol, UK.
J Tripp
Affiliation:
Department of Paediatrics, Royal Devon and Exeter Hospital, Barrack Road, Exeter, UK.
L Melarickas
Affiliation:
Department of Child Health, Southmead Hospital, Bristol, UK.
C Hurran
Affiliation:
Department of Child Health, Southmead Hospital, Bristol, UK.
O Stanley
Affiliation:
Department of Child Health, Southmead Hospital, Bristol, UK.
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Abstract

Pallidal stimulation is widely used in the treatment of movement disorder in adults but is less well reported in the treatment of dystonia in children. Despite inconsistent results in the past, its use in dystonia in Parkinson's disease is again attracting interest with promising results. Bilateral as well as unilateral pallidotomies have been performed and are felt to be required in some cases of dystonia. Use of depth electrodes to provide long-term electrical stimulation to pallidum and other basal ganglia structures has recently become more widespread. This technique is felt to have a lower morbidity, especially in bilateral procedures. Here we present the case of an 11-year-old boy with severe hyperkinetic movement disorder who showed sustained improvement after bilateral pallidal stimulation implantation.

Type
Case Reports
Information
Developmental Medicine and Child Neurology , Volume 43 , Issue 5 , May 2001 , pp. 350 - 353
Copyright
© 2001 Mac Keith Press

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