Successful Pallidal Deep Brain Stimulation Treatment in a Case of Generalized Dystonia due to a Novel ANO3 Mutation

Background. Dystonia is a ubiquitous syndrome, with a growing number of genes being continually identified. Mutations in the anoctamin-3 gene have been described to cause dystonia but the management and long-term outcomes are still largely unknown. Methods. We present here a long term, longitudinal...

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Main Authors: Lizl Lasky, Lindsay Bliss, Christos Sidiropoulos
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2019/3154653
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author Lizl Lasky
Lindsay Bliss
Christos Sidiropoulos
author_facet Lizl Lasky
Lindsay Bliss
Christos Sidiropoulos
author_sort Lizl Lasky
collection DOAJ
description Background. Dystonia is a ubiquitous syndrome, with a growing number of genes being continually identified. Mutations in the anoctamin-3 gene have been described to cause dystonia but the management and long-term outcomes are still largely unknown. Methods. We present here a long term, longitudinal follow up of a patient with generalized dystonia, who was treated with bilateral pallidal deep brain stimulation and was found to harbor a mutation in the anoctamin-3 gene. Results. Ongoing adjustment of stimulation settings and medications led to good and sustained dystonia control; however the patient did suffer short term relapses, manifested as dystonic crisis, which necessitated inpatient admission. Conclusion. This only the second patient to be reported with pallidal stimulation and an anoctamin-3 gene mutation. Long term outcomes seem to be favorable but larger case series are needed to confirm our findings.
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institution Kabale University
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spelling doaj-art-c6d0023466e9496183fa02227e6d25712025-02-03T06:12:33ZengWileyCase Reports in Neurological Medicine2090-66682090-66762019-01-01201910.1155/2019/31546533154653Successful Pallidal Deep Brain Stimulation Treatment in a Case of Generalized Dystonia due to a Novel ANO3 MutationLizl Lasky0Lindsay Bliss1Christos Sidiropoulos2Department of Neurology and Ophthalmology, Michigan State University, 804 Service Rd. B-411, East Lansing, MI 48824, USADepartment of Neurology and Ophthalmology, Michigan State University, 804 Service Rd. B-411, East Lansing, MI 48824, USADepartment of Neurology and Ophthalmology, Michigan State University, 804 Service Rd. B-411, East Lansing, MI 48824, USABackground. Dystonia is a ubiquitous syndrome, with a growing number of genes being continually identified. Mutations in the anoctamin-3 gene have been described to cause dystonia but the management and long-term outcomes are still largely unknown. Methods. We present here a long term, longitudinal follow up of a patient with generalized dystonia, who was treated with bilateral pallidal deep brain stimulation and was found to harbor a mutation in the anoctamin-3 gene. Results. Ongoing adjustment of stimulation settings and medications led to good and sustained dystonia control; however the patient did suffer short term relapses, manifested as dystonic crisis, which necessitated inpatient admission. Conclusion. This only the second patient to be reported with pallidal stimulation and an anoctamin-3 gene mutation. Long term outcomes seem to be favorable but larger case series are needed to confirm our findings.http://dx.doi.org/10.1155/2019/3154653
spellingShingle Lizl Lasky
Lindsay Bliss
Christos Sidiropoulos
Successful Pallidal Deep Brain Stimulation Treatment in a Case of Generalized Dystonia due to a Novel ANO3 Mutation
Case Reports in Neurological Medicine
title Successful Pallidal Deep Brain Stimulation Treatment in a Case of Generalized Dystonia due to a Novel ANO3 Mutation
title_full Successful Pallidal Deep Brain Stimulation Treatment in a Case of Generalized Dystonia due to a Novel ANO3 Mutation
title_fullStr Successful Pallidal Deep Brain Stimulation Treatment in a Case of Generalized Dystonia due to a Novel ANO3 Mutation
title_full_unstemmed Successful Pallidal Deep Brain Stimulation Treatment in a Case of Generalized Dystonia due to a Novel ANO3 Mutation
title_short Successful Pallidal Deep Brain Stimulation Treatment in a Case of Generalized Dystonia due to a Novel ANO3 Mutation
title_sort successful pallidal deep brain stimulation treatment in a case of generalized dystonia due to a novel ano3 mutation
url http://dx.doi.org/10.1155/2019/3154653
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