caa a22 4500 606214909 CHVBK 20210128101056.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00701-014-2291-6 doi (NATIONALLICENCE)springer-10.1007/s00701-014-2291-6 Effectiveness of selective peripheral denervation in combination with pallidal deep brain stimulation for the treatment of cervical dystonia [Elektronische Daten] [Moonyoung Chung, Inbo Han, Sang-Sup Chung, Dong-Kyu Jang, Ryoong Huh] Background: Selective peripheral denervation (SPD) and deep brain stimulation of the globus pallidus (GPi-DBS) are available surgical options for patients with medically refractory cervical dystonia (CD). There are few data available concerning whether patients who have unsatisfactory treatment effects after primary surgery benefit from a different type of subsequent surgery. The aim of this study was to assess whether combining these surgical procedures (SPD plus GPi-DBS) was effective in patients with unsatisfactory treatment effects after their initial surgery. Methods: Forty-one patients with medically refractory idiopathic CD underwent SPD and/or GPi-DBS. Patients who were dissatisfied with their primary surgery (SPD or GPi DBS) elected to subsequently undergo a different type of surgery. These patients were assessed with the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS). Results: SPD alone and GPi-DBS alone were performed in 16 and 21 patients, respectively. Four patients had unsatisfactory treatment effects after the initial surgery and subsequently underwent another type of surgery. Among them, two patients with persistent dystonia after SPD subsequently underwent GPi-DBS, and two other patients who had insufficient treatment effects following GPi-DBS were subsequently treated with SPD. All of these patients experienced sustained improvement from the combined surgical procedures according to the TWSTRS score during a long-term follow-up of 12-90months. Conclusions: Patients with unsatisfactory treatment effects after an SPD or GPi-DBS experienced improvement from subsequently undergoing other types of surgery. Therefore, combined surgical procedures are additional surgical options with good outcomes in the treatment of patients with residual symptoms after their initial surgery. Springer-Verlag Wien, 2014 Retrospective study nationallicence Torticollis nationallicence Cervical dystonia nationallicence Deep brain stimulation nationallicence Muscle denervation nationallicence Chung Moonyoung Department of Neurosurgery, Incheon St. Mary's Hospital, The Catholic University of Korea, #56 Dongsuro Bupyeong-Gu, 403-720, Incheon, South Korea aut Han Inbo Bundang CHA Hospital, The CHA University, Seongnam, South Korea aut Chung Sang-Sup Bundang CHA Hospital, The CHA University, Seongnam, South Korea aut Jang Dong-Kyu Department of Neurosurgery, Incheon St. Mary's Hospital, The Catholic University of Korea, #56 Dongsuro Bupyeong-Gu, 403-720, Incheon, South Korea aut Huh Ryoong Department of Neurosurgery, Incheon St. Mary's Hospital, The Catholic University of Korea, #56 Dongsuro Bupyeong-Gu, 403-720, Incheon, South Korea aut Acta Neurochirurgica Springer Vienna 157/3(2015-03-01), 435-442 0001-6268 157:3<435 2015 157 701 https://doi.org/10.1007/s00701-014-2291-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-014-2291-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chung Moonyoung Department of Neurosurgery, Incheon St. Mary's Hospital, The Catholic University of Korea, #56 Dongsuro Bupyeong-Gu, 403-720, Incheon, South Korea aut NATIONALLICENCE 700 1- Han Inbo Bundang CHA Hospital, The CHA University, Seongnam, South Korea aut NATIONALLICENCE 700 1- Chung Sang-Sup Bundang CHA Hospital, The CHA University, Seongnam, South Korea aut NATIONALLICENCE 700 1- Jang Dong-Kyu Department of Neurosurgery, Incheon St. Mary's Hospital, The Catholic University of Korea, #56 Dongsuro Bupyeong-Gu, 403-720, Incheon, South Korea aut NATIONALLICENCE 700 1- Huh Ryoong Department of Neurosurgery, Incheon St. Mary's Hospital, The Catholic University of Korea, #56 Dongsuro Bupyeong-Gu, 403-720, Incheon, South Korea aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/3(2015-03-01), 435-442 0001-6268 157:3<435 2015 157 701