Asahi Takashi, Taira Takaomi, Ikeda Kiyonobu, Yamamoto Jiro, Sato Shuji
Department of Neurosurgery, Kanazawa Neurosurgical Hospital, 262-2 Go-machi, Nonoichi-shi, Ishikawa, 921-8841, Japan.
Department of Neurosurgery, Tokyo Women's Medical University, 8-1, Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Acta Neurochir (Wien). 2018 Apr;160(4):835-838. doi: 10.1007/s00701-018-3480-5. Epub 2018 Feb 8.
Ventro-oral (Vo) thalamotomy is effective in patients with focal task-specific dystonias (FTSDs), but only in those with upper-limb symptoms. We describe a patient with drummer's dystonia who completely recovered after Vo thalamotomy. A 37-year-old man who started playing drums at 14 began having difficulty performing fine movements with his right foot when drumming at 22. He experienced right hand cramps while drumming 3 months before visiting our hospital. He was diagnosed with FTSD. Left Vo thalamotomy was performed, which led to complete improvement of symptoms. Vo thalamotomy may be effective for FTSD patients with upper- and lower-extremity symptoms.
腹侧口部（Vo）丘脑毁损术对局限性任务特异性肌张力障碍（FTSD）患者有效，但仅对有上肢症状的患者有效。我们描述了一名鼓手肌张力障碍患者，其在Vo丘脑毁损术后完全康复。一名37岁男性，14岁开始打鼓，22岁打鼓时右脚进行精细动作出现困难。在就诊我院前3个月打鼓时右手出现痉挛。他被诊断为FTSD。实施了左侧Vo丘脑毁损术，症状完全改善。Vo丘脑毁损术可能对有上下肢症状的FTSD患者有效。
