Immediate and long term outcome after infrathalamic and thalamic lesioning for intractable Tourette's syndrome

Journal of Neurology, Neurosurgery, and Psychiatry
T B BabelC B Ostertag

Abstract

The surgical treatment of intractable Tourette's syndrome is controversial. Experience with 17 consecutive patients treated between 1970 and 1998 is reviewed and the efficacy and safety of surgical treatment is assessed. These patients were retrospectively reclassified into subtypes according to the protocol of the Tourette's Syndrome Study Group. One patient was excluded from the study. Ventriculography based stereotactic zona incerta (ZI) and ventrolateral/ lamella medialis thalamotomy (VL/LM) were performed on all patients. The preoperative, postoperative, and late tic severities were assessed by the tic severity rating scale. The median follow up of 11 patients (65%) was 7 years (range 3.5-17 years) and six patients were lost to long term follow up. Median age was 23 years (range 11-40) at the time of surgery. Median duration of illness was 14 years (range 3-33). The mean preoperative motor and vocal tic severities were estimated to be 4.44 (SD 0.63) and 3.81 (SD 0.66), respectively. Unilateral ZI lesioning and VL/LM lesioning selected by asymmetry of symptoms provide an effective control of tic severity (p motor and vocal<0.001). In attenuation of contralateral symptoms, a second surgical intervention in the relevant side ...Continue Reading

References

Aug 1, 1990·Journal of Neurology, Neurosurgery, and Psychiatry·M RobertsonA J Lees
Mar 1, 1990·Journal of the American Academy of Child and Adolescent Psychiatry·D L PaulsR Sparkes
Jan 1, 1990·Movement Disorders : Official Journal of the Movement Disorder Society·R KurlanE D Caine
Jul 1, 1989·Journal of the American Academy of Child and Adolescent Psychiatry·J F LeckmanD J Cohen
Jun 1, 1995·Neurosurgery·P J Kelly
May 1, 1995·Movement Disorders : Official Journal of the Movement Disorder Society·J KulisevskyA Avila
Feb 5, 1993·Science·J E Hoover, P L Strick
Mar 1, 1995·Comprehensive Psychiatry·S L RauchM A Jenike
Jan 1, 1995·Movement Disorders : Official Journal of the Movement Disorder Society·J Jankovic, T Ashizawa
Mar 1, 1995·Journal of the American Academy of Child and Adolescent Psychiatry·A J AllenS E Swedo
May 1, 1994·Movement Disorders : Official Journal of the Movement Disorder Society·C G GoetzJ A Thelen
Aug 1, 1994·Brain : a Journal of Neurology·C D Marsden, J A Obeso
Sep 1, 1994·Movement Disorders : Official Journal of the Movement Disorder Society·M S Lee, C D Marsden
May 1, 1997·Neurologic Clinics·C M Tanner, S M Goldman
Sep 24, 1999·Movement Disorders : Official Journal of the Movement Disorder Society·A H NémethN M Hyman
Jan 1, 1954·Archiv für Psychiatrie und Nervenkrankheiten, vereinigt mit Zeitschrift für die gesamte Neurologie und Psychiatrie·J L CLAUSS, K BALTHASAR
Jan 1, 1957·Archiv für Psychiatrie und Nervenkrankheiten, vereinigt mit Zeitschrift für die gesamte Neurologie und Psychiatrie·K BALTHASAR

❮ Previous
Next ❯

Citations

Jul 26, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Matthew F DiFrancescoGregory G Heuer
Mar 30, 2011·European Child & Adolescent Psychiatry·Kirsten R Müller-VahlUNKNOWN ESSTS Guidelines Group
Sep 10, 2004·Current Psychiatry Reports·C Alan Anderson, David B Arciniegas
Jun 7, 2003·Current Treatment Options in Neurology·James E. Swain, James F. Leckman
Sep 13, 2007·The Neurologist·Ramon L RodriguezMichael S Okun
Feb 16, 2007·The Journal of Neuroscience : the Official Journal of the Society for Neuroscience·Péter BarthóLászló Acsády
Apr 2, 2009·Neuropsychiatric Disease and Treatment·Karim MukhidaIvar Mendez
Jan 7, 2004·Journal of Neurosurgery·Veerle Visser-VandewalleChris van der Linden
Aug 29, 2014·Surgical Neurology International·Claudio Yampolsky, Damián Bendersky
May 30, 2014·Current Neurology and Neuroscience Reports·Irene A Malaty, Umer Akbar
Sep 21, 2010·Acta neurochirurgica·Marco SassiDomenico Servello
Jun 23, 2012·World Neurosurgery·Linda AckermansVeerle Visser-Vandewalle
Mar 3, 2012·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Andrea E CavannaMary M Robertson
Jun 8, 2011·Mayo Clinic Proceedings·Mark K Lyons
Nov 17, 2009·Journal of Psychosomatic Research·Mauro PortaDomenico Servello
Jul 23, 2005·Movement Disorders : Official Journal of the Movement Disorder Society·Nico J DiederichFrançois Alesch
Jan 27, 2004·Movement Disorders : Official Journal of the Movement Disorder Society·Yasin Temel, Veerle Visser-Vandewalle
Jan 5, 2008·Movement Disorders : Official Journal of the Movement Disorder Society·Jose L LanciegoJose A Obeso
Jan 27, 2006·Annals of Neurology·Gaëtan GarrauxMark Hallett
Nov 3, 2010·The European Journal of Neuroscience·Marwan I Hariz, Mary M Robertson
Oct 6, 2009·Psychiatry Research·Ygor Arzeno FerrãoDan Joseph Stein
Jan 5, 2006·Acta Psychiatrica Scandinavica·J-S LeeL P Panych
Jun 27, 2002·Expert Opinion on Pharmacotherapy·Kirsten R Müller-Vahl
Oct 9, 2012·Neuroscience and Biobehavioral Reviews·Kirsten R Müller-Vahl
Apr 30, 2016·Journal of Neurosurgery·Arjun S ChandranChristopher R P Lind
Jul 8, 2016·Harvard Review of Psychiatry·Paulo LizanoEmad Eskandar
Nov 23, 2013·Neurosurgery Clinics of North America·Won Kim, Nader Pouratian
Oct 18, 2016·World Neurosurgery·Felix NeumaierWalid Albanna
Apr 8, 2017·Journal of Neurosurgery·Richard S DowdAlon Y Mogilner
Sep 15, 2006·Journal of Child Neurology·Joseph S NeimatAndres M Lozano
Jul 11, 2007·Current Opinion in Neurology·Clement Hamani, Elena Moro
Mar 7, 2020·Journal of Neurology, Neurosurgery, and Psychiatry·Jackson N CagleAysegul Gunduz
Aug 31, 2017·Brain Structure & Function·Paul J May, Michele A Basso
Jan 21, 2020·Translational Neurodegeneration·Wenying XuBomin Sun
Nov 14, 2008·The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry·Irene NeunerFrank Schneider
Jul 1, 2017·Frontiers in Human Neuroscience·Clemens NeudorferMohammad Maarouf
Aug 11, 2020·Tremor and Other Hyperkinetic Movements·Jackson N CagleAysegul Gunduz
Nov 21, 2017·Brain Structure & Function·Clemens Neudorfer, Mohammad Maarouf
Oct 5, 2021·European Child & Adolescent Psychiatry·Natalia SzejkoKirsten Müller-Vahl

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