Deep Brain Stimulation for Pantothenate Kinase-Associated Neurodegeneration

Pantothenate kinase-associated neurodegeneration (PKAN) is usually associated with dystonia, which is typically severe and progressive over time. Pallidal stimulation (GPi DBS) has been carried out in selected cases of PKAN with drug-resistant dystonia with variable results. We report a 30-month fol...

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Main Authors: Pedro J. Garcia-Ruiz, Joaquin Ayerbe, Lydia Vela Desojo, Cici E. Feliz, Javier del Val Fernandez
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2015/245735
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author Pedro J. Garcia-Ruiz
Joaquin Ayerbe
Lydia Vela Desojo
Cici E. Feliz
Javier del Val Fernandez
author_facet Pedro J. Garcia-Ruiz
Joaquin Ayerbe
Lydia Vela Desojo
Cici E. Feliz
Javier del Val Fernandez
author_sort Pedro J. Garcia-Ruiz
collection DOAJ
description Pantothenate kinase-associated neurodegeneration (PKAN) is usually associated with dystonia, which is typically severe and progressive over time. Pallidal stimulation (GPi DBS) has been carried out in selected cases of PKAN with drug-resistant dystonia with variable results. We report a 30-month follow-up study of a 30-year-old woman with PKAN-related dystonia treated with GPi DBS. Postoperatively, the benefit quickly became evident, as the patient exhibited a marked improvement in her dystonia, including her writing difficulty. This result has been maintained up to the present. GPi DBS should be considered in dystonic PKAN patients provided fixed contractures and/or pyramidal symptoms are not present.
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institution Kabale University
issn 2090-6668
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publishDate 2015-01-01
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series Case Reports in Neurological Medicine
spelling doaj-art-264bee4338364beaa1e2dde61a9a181f2025-02-03T01:21:24ZengWileyCase Reports in Neurological Medicine2090-66682090-66762015-01-01201510.1155/2015/245735245735Deep Brain Stimulation for Pantothenate Kinase-Associated NeurodegenerationPedro J. Garcia-Ruiz0Joaquin Ayerbe1Lydia Vela Desojo2Cici E. Feliz3Javier del Val Fernandez4Department of Neurology, Fundacion Jimenez Diaz, Avenida Reyes Catolicos 2, 28040 Madrid, SpainDepartment of Neurosurgery, Fundacion Jimenez Diaz, Avenida Reyes Catolicos 2, 28040 Madrid, SpainDepartment of Neurology, Hospital Fundacion Alcorcon, Calle Valdelaguna 1, Alcorcón, 2892 Madrid, SpainDepartment of Neurology, Fundacion Jimenez Diaz, Avenida Reyes Catolicos 2, 28040 Madrid, SpainDepartment of Neurology, Fundacion Jimenez Diaz, Avenida Reyes Catolicos 2, 28040 Madrid, SpainPantothenate kinase-associated neurodegeneration (PKAN) is usually associated with dystonia, which is typically severe and progressive over time. Pallidal stimulation (GPi DBS) has been carried out in selected cases of PKAN with drug-resistant dystonia with variable results. We report a 30-month follow-up study of a 30-year-old woman with PKAN-related dystonia treated with GPi DBS. Postoperatively, the benefit quickly became evident, as the patient exhibited a marked improvement in her dystonia, including her writing difficulty. This result has been maintained up to the present. GPi DBS should be considered in dystonic PKAN patients provided fixed contractures and/or pyramidal symptoms are not present.http://dx.doi.org/10.1155/2015/245735
spellingShingle Pedro J. Garcia-Ruiz
Joaquin Ayerbe
Lydia Vela Desojo
Cici E. Feliz
Javier del Val Fernandez
Deep Brain Stimulation for Pantothenate Kinase-Associated Neurodegeneration
Case Reports in Neurological Medicine
title Deep Brain Stimulation for Pantothenate Kinase-Associated Neurodegeneration
title_full Deep Brain Stimulation for Pantothenate Kinase-Associated Neurodegeneration
title_fullStr Deep Brain Stimulation for Pantothenate Kinase-Associated Neurodegeneration
title_full_unstemmed Deep Brain Stimulation for Pantothenate Kinase-Associated Neurodegeneration
title_short Deep Brain Stimulation for Pantothenate Kinase-Associated Neurodegeneration
title_sort deep brain stimulation for pantothenate kinase associated neurodegeneration
url http://dx.doi.org/10.1155/2015/245735
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