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ISAMU Miura
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Assistant Professor |
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| Article types | Case report |
| Language | English |
| Peer review | Peer reviewed |
| Title | Successful treatment of focal hand dystonia after cervical whiplash injury by thalamotomy. |
| Journal | Formal name：Surgical neurology international Abbreviation：Surg Neurol Int ISSN code：22295097/21527806 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 13,pp.387 |
| Author and coauthor | Miura Isamu, Horisawa Shiro, Kawamata Takakazu, Taira Takaomi |
| Authorship | Lead author,Corresponding author |
| Publication date | 2022 |
| Summary | 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 |