{Reference Type}: Case Reports {Title}: Microlesion Effect Induced by Electrode Implantation in the Posteroventral Globus Pallidus Interna for Severe Dystonic Tics. {Author}: Permana GI;Morishita T;Tanaka H;Iida H;Fujioka S;Abe H; {Journal}: Tremor Other Hyperkinet Mov (N Y) {Volume}: 14 {Issue}: 0 {Year}: 2024 暂无{DOI}: 10.5334/tohm.837 {Abstract}: Tourette syndrome (TS) is a neurologic condition characterized by motor and phonic tics. Dystonic tics, including blepharospasm, are considered atypical or unusual in severe TS.
We report a severe case of TS with facial dystonic tics resembling blepharospasm in which the microlesion effect and a sustained therapeutic effect was observed with bilateral globus pallidus interna (GPi) deep brain stimulation (DBS).
Bilateral GPi DBS can be beneficial for blepharospasm-like tics and severe symptoms of TS. The improvements seen can be explained by the microlesion effect induced by DBS lead placement in the GPi.