How to treat dystonia

  Dystonia is a common neurological condition characterized by abnormal cause movements with sustained muscle contractions, causing twisting, repetitive cause movements or abnormal postures of the neck, limbs or whole body. Many patients suffer from dystonia, which causes severe disruptions in their daily lives.  ”The treatment of dystonia has medication and surgery, often in the early stage of the disease patients will choose medication, but can not reach a complete cure, there will be aggravation of the disease. At this point, we can then choose deep brain electrical stimulation therapy to treat dystonia.”  Name: Jx Gender: Female Age: 40 years old Condition at admission: The patient started to have pain in the lower back with no obvious cause 2 years ago, and had difficulty in moving the left limb progressively. When he went to another hospital, his symptoms did not improve significantly after treatment; when he went to the hospital one year ago, he was diagnosed with “Parkinson’s disease” and was given oral medroxyprogesterone half tablet 3 times/day, but his symptoms did not improve significantly, and after a week, he was given one tablet, and his symptoms changed slightly. He had difficulty getting up and turning over.  He went to the hospital again and was diagnosed with “somatization sensory disorder”, and took sertraline 1 tablet orally once/day, but the symptoms did not change significantly. He was admitted to our hospital with “dopamine-responsive dystonia”. He was admitted to our hospital with “dopamine-responsive dystonia”. After the disease, his general condition was fine. The muscle tone of the extremities was slightly increased, and the finger-nose test was slow, and the index and middle finger percussion test was clumsy, which was significant on the left side, and motor tremor was seen on the left side. Spasmodic muscle contractions, movements such as speech are obvious. The lower jaw is right deviated, cheek puffing, and difficulty in showing teeth. Involuntary contraction of neck muscles was seen to drive head movement.  Preliminary diagnosis: 1 Dystonia Treatment history: After admission, the patient was actively improved with relevant examinations and preoperative evaluation, and the diagnosis of dystonia was clear. The patient and his family were willing to try deep brain electrical stimulation therapy for treatment. Stereotactic bilateral deep brain electrical stimulation implantation was performed under general anesthesia. The operation went smoothly, and the patient recovered well after the operation, with good healing of the incision and no special uncomfortable reaction.  Discharge diagnosis: 1 dystonia Discharge medical advice: 1. Discharge with medication: none. 2. Advice and health education for the patient: pay attention to rest, strengthen nutrition, enhance physical fitness; pay attention to protect the incision, prevent injury infection, and gently wash the hair with warm water after one month; come to our department after one month to turn on the machine to regulate. 3. Follow-up time: one month, follow up for discomfort.  Dystonia can affect our normal walking and can have a great impact on our life. “At present, the main method of DBS for the treatment of dystonia is bilateral DBS-Gpi, which means that the surgical target is the medial part of the pallidum (Gpi). Clinical studies have demonstrated that high-frequency electrical stimulation of the pallidum bulb is effective in improving motor dysfunction and improving the quality of life of patients with primary, generalized, and segmental dystonia. The results of several long-term observational studies support the use of deep brain electrical stimulation of the pallidum bulb as a first-line treatment option for patients with dystonia for whom pharmacological treatment is ineffective.”