严重的鞭状颈部抽动作为丘脑深部脑刺激的指征：两例报告
Severe Whip-Like Cervical Tics as an Indication For Thalamic Deep Brain Stimulation: Report of Two Cases.
作者信息
Tsuji Masamune, Yamashiro Kei, Morishita Takashi, Hirota Atsushi, Iida Hitoshi, Baba Yasuhiko, Abe Hiroshi
机构信息
Department of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Department of Psychiatry, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
出版信息
Tremor Other Hyperkinet Mov (N Y). 2025 May 16;15:24. doi: 10.5334/tohm.1010. eCollection 2025.
BACKGROUND
Cervical spinal cord injury caused by cervical tics associated with Tourette syndrome (TS) is a recognized complication; however, the role of deep brain stimulation (DBS) in mitigating the risk of such injuries remains unclear.
CASE REPORT
We report two cases of TS with severe cervical tics, both of which responded favorably to DBS. In one case, DBS prevented the progression of cervical spinal cord injury, whereas in the other case, it prevented its onset.
DISCUSSION
Poor control of severe cervical tics is a significant risk factor for cervical spinal cord injury, and early consideration of DBS is recommended.
HIGHLIGHTS
This case report presents two cases in which deep brain stimulation (DBS) was effective for patients with Tourette syndrome exhibiting severe cervical tics. Through this report, we demonstrate the potential effectiveness of DBS as a treatment to reduce the risk of cervical spinal cord injury caused by severe cervical tics.
背景
与抽动秽语综合征（TS）相关的颈部抽搐导致的颈髓损伤是一种公认的并发症；然而，深部脑刺激（DBS）在降低此类损伤风险中的作用仍不明确。
病例报告
我们报告了两例伴有严重颈部抽搐的TS病例，两例对DBS均反应良好。一例中，DBS阻止了颈髓损伤的进展，而在另一例中，它预防了颈髓损伤的发生。
讨论
严重颈部抽搐控制不佳是颈髓损伤的一个重要危险因素，建议早期考虑DBS。
要点
本病例报告展示了两例深部脑刺激（DBS）对表现出严重颈部抽搐的抽动秽语综合征患者有效的病例。通过本报告，我们证明了DBS作为一种治疗方法在降低严重颈部抽搐导致颈髓损伤风险方面的潜在有效性。
Zotero 插件