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Case Reports
. 2017 Jul;159(7):1359-1363.
doi: 10.1007/s00701-017-3178-0. Epub 2017 Apr 19.

Bilateral pallidotomy for Meige syndrome

Krasimir Minkin  1 , Kaloyan Gabrovski  2 , Petia Dimova  2 , Rossitsa Tanova  2 , Marin Penkov  3 , Yuri Todorov  3 , Kiril Romansky  3
Affiliations
Case Reports

Bilateral pallidotomy for Meige syndrome

Krasimir Minkin et al. Acta Neurochir (Wien). 2017 Jul.

Abstract

Meige syndrome (MS) is usually described as a combination of blepharospasm with oromandibular dystonia. There are a large number of case reports of deep brain stimulation (DBS) of the globus pallidus internus (GPI) for MS and only one report of unilateral pallidotomy (PT). We report the first case of staged bilateral PT for treatment of a patient with MS using intraoperative high-frequency stimulation in order to predict and prevent postoperative deficit. There was a significant improvement of the Burk-Fahn-Marsden dystonia rating scale from 26 to 3. There were no adverse postoperative neurological and neuropsychological events.

Keywords: Deep brain stimulation; Dystonia; High frequency stimulation; Meige syndrome; Pallidotomy; Radiofrequency lesions.

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