ArticleJournal of neurosurgery. Case lessons2025
Rescue globus pallidus deep brain stimulation following refractory dystonia treated with subthalamic nucleus deep brain stimulation: illustrative case.
Article in Journal of neurosurgery. Case lessons, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDystonia is a group of movement disorders that can result in tremor, abnormal posturing, and difficulty with coordinated movements. Medically intractable dystonia can be treated with deep brain stimulation (DBS). Dystonia refractory to DBS can be rescued with DBS to another region. Here, the authors report one of the first cases of dystonia initially treated with subthalamic nucleus (STN) DBS rescued by globus pallidus (GPi) DBS. OBSERVATIONS: A 42-year-old male presented with progressive and disabling left hemidystonia along with toe curling, foot inversion, and arm posturing. Previous therapies include botulinum toxin, phenol injections, and bilateral STN-DBS. STN-DBS initially provided relief with symptoms, but its effect faded over time. Multiple attempts were made to optimize lead placement, but they were ultimately unsuccessful. Bilateral GPi-DBS was performed through several programming sessions. A brain laboratory lead localization and brain sense survey were performed to determine the ideal settings. The patient demonstrated significant improvements with his more severe symptoms and is now regaining a better quality of life. LESSONS: There have been several cases of refractory dystonia following GPi-DBS being rescued by STN-DBS. However, there have been no cases describing GPi-DBS rescuing dystonia refractory to STN-DBS. This case provides insight into a novel method of treating dystonia refractory to STN-DBS. https://thejns.org/doi/10.3171/CASE24886.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.