ミウラ　イサム   Miura Isamu   三浦　勇    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	Successful treatment of focal hand dystonia after cervical whiplash injury by thalamotomy.
掲載誌名	正式名：Surgical neurology international 略　 称：Surg Neurol Int ISSNコード：22295097/21527806
掲載区分	国外
巻・号・頁	13,pp.387
著者・共著者	Miura Isamu, Horisawa Shiro, Kawamata Takakazu, Taira Takaomi
担当区分	筆頭著者,責任著者
発行年月	2022
概要	Background:Posttraumatic focal hand dystonia after cervical whiplash injury is rare. Moreover, the treatment of peripheral posttraumatic dystonia is usually ineffective. Herein, we report a case of successful thalamotomy for a patient with focal hand dystonia after cervical whiplash injury.Case Description:A 39-year-old woman was hit from behind by a car; subsequently, she felt strange in the right hand and was diagnosed with whiplash injury. A month later, she developed a persistent abnormal posture of the right hand. Brain imaging showed no lesions, and cervical magnetic resonance imaging showed stenosis but no spinal cord signal changes. Posttraumatic dystonia was diagnosed, for which the patient underwent left ventro-oral (Vo) thalamotomy. One year after the first surgery, the patient underwent left Vo and ventral intermediate nucleus (Vim) thalamotomy due to recurrence of dystonia. Nine years after the second surgery, the patient continues to be able to maintain her normal physical routine.Conclusion:Vo-Vim thalamotomy may be a feasible and effective treatment for focal hand dystonia after cervical whiplash injury.
DOI	10.25259/SNI_474_2022
PMID	36128161