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Intractable Blepharospasm Treated with Bilateral Pallidal Deep Brain Stimulation Cover

Intractable Blepharospasm Treated with Bilateral Pallidal Deep Brain Stimulation

Open Access
|Jul 2017

Figures & Tables

Table 1

Published Cases of Pallidal DBS in Meige Syndrome and Isolated Blepharospasm

Number of PatientsIndication for DBSFollow-up Duration (months)Improvement in Blepharospasm (%)1Reference no.
1Meige6Improved but not quantified7
11Meige12638
5Meige10–124889
6Meige6795
6Meige12Improved in all patients but not quantified10
12Meige12–78556
1Isolated blepharospasm16312
1Isolated blepharospasm158813

Abbreviations: DBS, Deep Brain Stimulation.

1 Each reference describes improvement in the Burke–Fahn–Marsden Dystonia Rating Scale.

tre-07-472-7522-1-g001.jpg
Figure 1

Subject Photographs and MRI Imaging. (A) Subject’s blepharospasm pre- and post implantation of DBS. Pre-DBS, the subject used tape to hold his eyelids open. (B) T2-weighted MRI showing trajectory planning and T1-weighted images showing electrode placement in bilateral GP. DBS, Deep Brain Stimulation; GP, Globus Pallidus; MRI, Magnetic Resonance Imaging.

Table 2

Dystonia Severity at Baseline and Follow-up

Baseline1 Month Post Operation (improvement from baseline)1 Year Post Operation (improvement from baseline)
BFMDRS total movement score156 (60%)1.5 (90%)
BFMDRS blepharospasm score84 (50%)0 (100%)
BFMDRS neck score40.5 (88%)0.5 (88%)
BFMDRS disability score102 (80%)2 (80%)
JRS score84 (50%)0 (100%)

[i] Abbreviations: BFMDRS, Burke–Fahn–Marsden Dystonia Rating Scale; JRS, Jankovic Rating Scale.

Video 1

Segment 1A. Examination of the Subject’s Blepharospasm Prior to Deep Brain Stimulation. There are frequent spasms and difficulty keeping eyes open. Patient requires tape or use of hands to hold his eyelids open. Segment 1B. Examination of Patient’s Blepharospasm 1 Year after Deep Brain Stimulation Implantation. The patient is able to hold his eyes open easily and there are no spasms or contractions seen.

DOI: https://doi.org/10.5334/tohm.361 | Journal eISSN: 2160-8288
Language: English
Submitted on: Apr 21, 2017
Accepted on: Jun 21, 2017
Published on: Jul 6, 2017
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2017 Nijee S. Luthra, Kyle T. Mitchell, Monica M. Volz, Idit Tamir, Phillip A. Starr, Jill L. Ostrem, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.