Good outcome in refractory cervical dystopia with combination of Deep Brain Stimulation on globus pallidus internus nucleus and delayed selective periphery rhizotomy with five years follow up

Abstract

Cervical dystonia is the most common form of focal dystonia and it has poor options for treatment like botulin toxin, Baclofen, kinesics, which most times are ineffective or have complications. As second line treatments destructive surgical procedures are currently tried first and Deep Brain Stimulation (DBS) by stereotactic implant, later. We present a case in which cervical neurology was done after DBS, with long term good results.