{"id":"004a2e0b-c6e7-4297-89e8-f4e00884aaf0","slug":"rescue-pallidotomy-for-dystonia-through-implanted-deep-brain-stimulation-electrode","title":"Rescue pallidotomy for dystonia through implanted deep brain stimulation electrode","authors":["Patric Blomstedt","Takaomi Taira","Marwan Hariz"],"abstract":"Background: Some patients with deep brain stimulation (DBS), where removal of implants is indicated due to hardware related infections, are not candidates for later re-implantation. In these patients a rescue lesion through the DBS electrode has been suggested as an option. In this case report we present a patient where a pallidotomy was performed using the DBS electrode. Case Description: An elderly woman with bilateral Gpi DBS suffered an infection around the left burr hole involving the DBS electrode. A unilateral lesion was performed through the DBS electrode before it was removed. No side effects were encountered. Burke-Fahn-Marsden (BFM) dystonia movement scale score was 39 before DBS. With DBS before lesioning BFM score was 2.5 points. The replacement of the left sided stimulation with a pallidotomy resulted in only a minor deterioration of the score to 5 points. Conclusions: In the case presented here a small pallidotomy performed with the DBS electrode provided a satisfactory effect on the patient's dystonic symptoms. Thus, rescue lesions through the DBS electrodes, although off-label, might be considered in patients with Gpi DBS for dystonia when indicated.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/004a2e0b-c6e7-4297-89e8-f4e00884aaf0/featured/hero-1782420796281.png","publishDate":"2016-11-14T00:00:00.000Z","doi":"10.4103/2152-7806.194061","categories":["Stereotactic","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2016/11/8142/SNI-7-815.pdf"}