Abstract | BACKGROUND: OBJECTIVES: In this study, therefore, we present 2 patients who underwent thalamotomy for writer's cramp and systematically review the literature on stereotactic surgery for writer's cramp. METHODS: Case reports and literature review are presented. RESULTS: Both patients underwent ventral oral nucleus (Vo) thalamotomy safely. Their symptoms completely disappeared after surgery and did not recur during follow-up periods. In the literature, a total of 31 cases were surgically treated for writer's cramp. Stereotactic surgery included thalamotomy in 25 cases and DBS in 6. The target included the Vo in 17 cases, the ventral intermediate nucleus (Vim) in 3, and both Vo and Vim in 7. Both procedures markedly improved or resolved the symptoms. Transient neurological deficits were observed in 16.0% of patients after thalamotomy. CONCLUSIONS: The Vo may be the most effective target to treat writer's cramp. Both thalamotomy and DBS are feasible and effective, but thalamotomy would be a better option, especially in younger or high-risk patients.
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Authors | Takashi Asahi, Masaki Koh, Daina Kashiwazaki, Satoshi Kuroda |
Journal | Stereotactic and functional neurosurgery
(Stereotact Funct Neurosurg)
Vol. 92
Issue 6
Pg. 405-11
( 2014)
ISSN: 1423-0372 [Electronic] Switzerland |
PMID | 25359570
(Publication Type: Case Reports, Journal Article)
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Copyright | © 2014 S. Karger AG, Basel. |
Topics |
- Dystonic Disorders
(surgery)
- Humans
- Male
- Middle Aged
- Stereotaxic Techniques
- Thalamus
(surgery)
- Treatment Outcome
- Young Adult
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