An unusual surgical indication for cerebral tuberculosis: status dystonicus. Case report

Franzini Andrea; Franzini Angelo; Levi Vincenzo; Cordella Roberto; Messina Giuseppe

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An unusual surgical indication for cerebral tuberculosis: status dystonicus. Case report

机译：脑结核病的异常外科迹象：状态发电池。案例报告

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Actual indications for surgery in tuberculosis are limited to obtaining a diagnosis, acquiring tissue for culture studies, treating hydrocephalus, aspiring a brain abscess, and reducing intracranial pressure in patients with multiple tuberculomas. Tuberculosis-related movement disorders are usually treated pharmacologically. We report on a child affected by post-tubercular generalized dystonia, who progressed to status dystonicus (SD) and underwent stereotactic bilateral pallidotomy. After surgery, SD resolved, and drugs were rapidly tapered. The successful reversal of SD and the motor improvement observed in our patient demonstrate the safety, feasibility, and clinical efficacy of pallidotomy in post-tuberculous-meningoencephalitis dystonia and SD.

机译：结核病手术的实际适应性仅限于获得诊断，获取培养研究的组织，治疗脑积水，抱怨脑脓肿，减少多个结核瘤患者的颅内压力。结核病相关的运动障碍通常是药理学上的治疗。我们报告了由结核后广义肌淋巴结后的儿童，他们进展到地位发电（SD）和接受立体定向双侧粘膜术。手术后，SD解决，药物迅速逐渐变细。在患者中观察到的SD和电机改善的成功逆转证明了粘膜术在结核病后脑膜炎患者和SD中的安全性，可行性和临床疗效。

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来源
《Acta Neurochirurgica》 |2018年第7期|共4页
作者
Franzini Andrea; Franzini Angelo; Levi Vincenzo; Cordella Roberto; Messina Giuseppe;
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作者单位

Fdn IRCCS Ist Neurol Carlo Besta Dept Neurosurg Via Celoria 11 I-20133 Milan Italy;

Fdn IRCCS Ist Neurol Carlo Besta Dept Neurosurg Via Celoria 11 I-20133 Milan Italy;

Fdn IRCCS Ist Neurol Carlo Besta Dept Neurosurg Via Celoria 11 I-20133 Milan Italy;

Fdn IRCCS Ist Neurol Carlo Besta Dept Neurosurg Via Celoria 11 I-20133 Milan Italy;

Fdn IRCCS Ist Neurol Carlo Besta Dept Neurosurg Via Celoria 11 I-20133 Milan Italy;

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原文格式 PDF
正文语种 eng
中图分类头部及神经外科学;
关键词
Tuberculosis; Ablative surgery; Status dystonicus; Pallidotomy; Globus pallidus internus;

机译：结核病;消融手术;状态发电术;粘膜术;Globus pallidus Internus;

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An unusual surgical indication for cerebral tuberculosis: status dystonicus. Case report

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