• World Neurosurg · Dec 2020

    Case Reports

    Successful Relief of Abdominal Dystonia After Sequential GPi Pallidotomy with 2-Year Follow-Up.

    • Achmad Fahmi, Asadullah Department of Neurosurgery, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Dr. Soetomo General Academic Hospital, Surabaya, Indonesia., Yunus Kuntawi Aji, Dirga Rachmad Aprianto, Heri Subianto, and Agus Turchan.
    • Post Graduate Doctoral Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Department of Neurosurgery, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Electronic address: achmad.fahmi-13@fk.unair.ac.id.
    • World Neurosurg. 2020 Dec 1; 144: 68-70.

    BackgroundAbdominal dystonia is very rare. To our knowledge, no clinical study has reported its specific treatment. Stereotactic therapy has been used to treat several movement disorders, including focal and general dystonia. We investigated the use of internal globus pallidum (GPi) pallidotomy for abdominal dystonia after failed oral medication.Case DescriptionA 48-year-old man presented with abdominal dystonia and complaints of involuntary undulating and contraction movements of his left abdominal wall for 5 years. Treatment with oral medication for 4 years was ineffective. Lesioning of the right GPi successfully relieved his symptoms. The symptoms recurred at 3 months and right GPi pallidotomy was repeated with complete resolution of symptoms after the second procedure. There was no recurrence or focal deficit at the 2-year follow-up.ConclusionsGPi pallidotomy is feasible and effective for the treatment of abdominal dystonia that is resistant to standard medical therapy.Copyright © 2020 Elsevier Inc. All rights reserved.

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