经丘脑切开术治疗手枪射击性肌张力障碍。
Pistol Shooting Dystonia Treated with Thalamotomy.
机构信息
Department of Neurosurgery, Tokyo Women's Medical University, Tokyo, JP.
出版信息
Tremor Other Hyperkinet Mov (N Y). 2023 Sep 4;13:32. doi: 10.5334/tohm.779. eCollection 2023.
BACKGROUND
Neurosurgical treatment for pistol shooting dystonia has not been studied.
CASE REPORT
The patient was a 41-year-old woman who participated in the Olympic Games four times as a shooting player. Five months after the final Tokyo Olympic trials, she developed dystonia of the right index finger when shooting. Stereotactic thalamotomy was performed, and a complete resolution of dystonia was achieved. She garnered her personal best score and placed fifth in the Tokyo Olympics.
DISCUSSION
Thalamotomy along with deep brain stimulation can be a surgical modality for patients with task-specific dystonia who fail oral medications or botulinum toxin therapy.
背景
针对手枪射击性肌张力障碍的神经外科治疗尚未得到研究。
病例报告
患者为 41 岁女性，曾作为射击运动员参加过四届奥运会。在东京奥运会最后一次选拔赛结束后的五个月，她在射击时出现右食指的肌张力障碍。行立体定向丘脑切开术，肌张力障碍完全缓解。她在东京奥运会上取得了个人最好成绩，获得第五名。
讨论
对于口服药物或肉毒毒素治疗失败的任务特异性肌张力障碍患者，丘脑切开术联合深部脑刺激术可能是一种手术方式。
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