ホリサワ シロウ   Horisawa Shirou
  堀澤 士朗
   所属   医学部 医学科(東京女子医科大学病院)
   職種   助教
論文種別 症例報告
言語種別 英語
査読の有無 査読あり
表題 Radiofrequency ablation for DYT-28 dystonia: short term follow-up of three adult cases.
掲載誌名 正式名:Annals of clinical and translational neurology
略  称:Ann Clin Transl Neurol
ISSNコード:23289503/23289503
掲載区分国外
巻・号・頁 7(10),pp.2047-2051
著者・共著者 Horisawa Shiro†, Azuma Kenkou, Akagawa Hiroyuki, Nonaka Taku, Kawamata Takakazu, Taira Takaomi
発行年月 2020/10
概要 Mutations in the lysine methyltransferase 2B (KMT2B) gene have recently been reported to be associated with childhood-onset generalized dystonia. There have been no studies investigating ablative treatments for the management of this disorder. Three patients underwent either a staged unilateral pallidotomy and contralateral pallidothalamic tractotomy (19-year-old man, 2-year follow-up), a unilateral pallidothalamic tractotomy (34-year-old man, 6-month follow-up) or a simultaneous unilateral pallidothalamic tractotomy and ventro-oral thalamotomy (29-year-old man, 6-month follow-up). The average total patient score on the Burke-Fahn-Marsden Dystonia Rating Scale-Movement Scale improved from 39.5 to 13.2 (66.6%) after the procedures. No significant complications were identified. Ablative treatments appear to be a promising alternative surgical option for generalized dystonia with KMT2B mutation.
DOI 10.1002/acn3.51170
PMID 32886413