An unusual surgical indication for cerebral tuberculosis: status dystonicus. Case report

Andrea Franzini, Angelo Franzini, Vincenzo Levi, Roberto Cordella, Giuseppe Messina

Research output: Contribution to journalArticlepeer-review

Abstract

Actual indications for surgery in tuberculosis are limited to obtaining a diagnosis, acquiring tissue for culture studies, treating hydrocephalus, aspiring a brain abscess, and reducing intracranial pressure in patients with multiple tuberculomas. Tuberculosis-related movement disorders are usually treated pharmacologically. We report on a child affected by post-tubercular generalized dystonia, who progressed to status dystonicus (SD) and underwent stereotactic bilateral pallidotomy. After surgery, SD resolved, and drugs were rapidly tapered. The successful reversal of SD and the motor improvement observed in our patient demonstrate the safety, feasibility, and clinical efficacy of pallidotomy in post-tuberculous-meningoencephalitis dystonia and SD.

Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalActa Neurochirurgica
DOIs
Publication statusAccepted/In press - May 15 2018

Keywords

  • Ablative surgery
  • Globus pallidus internus
  • Pallidotomy
  • Status dystonicus
  • Tuberculosis

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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