An unusual surgical indication for cerebral tuberculosis: status dystonicus. Case report

Acta neurochirurgica
Andrea FranziniGiuseppe Messina

Abstract

Actual indications for surgery in tuberculosis are limited to obtaining a diagnosis, acquiring tissue for culture studies, treating hydrocephalus, aspiring a brain abscess, and reducing intracranial pressure in patients with multiple tuberculomas. Tuberculosis-related movement disorders are usually treated pharmacologically. We report on a child affected by post-tubercular generalized dystonia, who progressed to status dystonicus (SD) and underwent stereotactic bilateral pallidotomy. After surgery, SD resolved, and drugs were rapidly tapered. The successful reversal of SD and the motor improvement observed in our patient demonstrate the safety, feasibility, and clinical efficacy of pallidotomy in post-tuberculous-meningoencephalitis dystonia and SD.

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Citations

Sep 21, 2019·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Andrea FranziniFrancesco Prada
Nov 21, 2020·Movement Disorders : Official Journal of the Movement Disorder Society·Liesanne M CentenJ Marc C van Dijk
Aug 19, 2021·Movement Disorders Clinical Practice·Annu AggarwalMohit Bhatt

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