An unusual surgical indication for cerebral tuberculosis: status dystonicus. Case report.
Acta Neurochir (Wien)
; 160(7): 1355-1358, 2018 07.
Article
en En
| MEDLINE
| ID: mdl-29766338
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.
Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Tuberculosis Meníngea
/
Distonía
/
Palidotomía
Tipo de estudio:
Etiology_studies
Idioma:
En
Revista:
Acta Neurochir (Wien)
Año:
2018
Tipo del documento:
Article