PDF(Pubmed)
Abstract：
Cervical dystonia with concurrent cervical myelopathy is a challenging pathology that requires thoughtful management. A 46-year-old female was referred to our center with this presentation. We elected to perform bilateral globus pallidus internus deep brain stimulation (DBS-GPi) prior to C5 to C7 anterior cervical discectomy and fusion (ACDF) to avoid the potential for dystonic movements to negatively impact cervical fusion. The patient was followed up at three months post C5 to C7 ACDF and nine months post DBS-GPi with complete control of tremor and no radiographic evidence of hardware loosening or malalignment. Though this strategy was successful in treating both our patient\'s cervical myelopathy and cervical dystonia, larger studies need to be conducted to optimize the treatment of patients presenting with these concurrent pathologies.
摘要：
颈肌张力障碍并发脊髓型颈椎病是一种具有挑战性的病理，需要经过深思熟虑的管理。一名46岁的女性在这次演讲中被提到我们的中心。我们选择在C5至C7颈前路椎间盘切除术和融合（ACDF）之前进行双侧苍白球内深部脑刺激（DBS-GPi），以避免肌张力障碍运动对颈椎融合产生负面影响。在C5至C7ACDF后三个月和DBS-GPi后九个月对患者进行了随访，完全控制了震颤，没有放射学证据表明硬件松动或对准不良。虽然这种策略是成功的治疗我们的病人的颈脊髓病和颈肌张力障碍，需要进行更大规模的研究,以优化出现这些并发病变的患者的治疗.
