Abstract
We report herein the case of a 9-year-old girl with life-threatening hyperkinetic involuntary movement of unknown etiology. Medical treatment was ineffective for her stereotypy and choreoathetotic/ballistic movements, but bilateral stimulation of the globus pallidus immediately alleviated these symptoms. Pallidal deep-brain stimulation may be considered the therapy of choice for children with intractable hyperkinetic movement disorders.
MeSH terms
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Age Factors
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Athetosis / physiopathology
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Athetosis / therapy
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Basal Ganglia / anatomy & histology
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Basal Ganglia / physiopathology
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Child
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Chorea / physiopathology
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Chorea / therapy
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Deep Brain Stimulation / instrumentation
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Deep Brain Stimulation / methods*
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Developmental Disabilities / complications
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Developmental Disabilities / physiopathology
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Electrodes, Implanted
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Female
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Fever / complications
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Globus Pallidus / anatomy & histology
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Globus Pallidus / physiology*
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Humans
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Hyperkinesis / physiopathology
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Hyperkinesis / therapy*
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Movement Disorders / physiopathology
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Movement Disorders / therapy*
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Neural Pathways / anatomy & histology
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Neural Pathways / physiopathology
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Stereotypic Movement Disorder / physiopathology
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Stereotypic Movement Disorder / therapy
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Treatment Outcome