{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T10:04:33Z","timestamp":1779530673464,"version":"3.53.1"},"reference-count":48,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:p>Pallidal stimulation has been the usual surgical treatment for dystonia in the last decades. The continuous investigation of the physiopathology and the motor pathways involved leads to the search for complementary targets to improve results. The authors present the case of a 37-year-old woman who had suffered from idiopathic hemidystonia with hyperkinetic and hypokinetic movements for 11 years, and who was treated with deep brain stimulation. A brief literature review is also provided. The globus pallidus internus and the ventral intermediate\/ventral oral posterior complex of the thalamus were stimulated separately and simultaneously for 3 months and compared using the Burke-Fahn-Marsden Dystonia Rating Scale and the Global Dystonia Severity Rating Scale, with a 3.5-year follow-up. The synergism of multiple-target stimulation resulted in a complete improvement of the mixed dystonic symptoms.<\/jats:p>","DOI":"10.3171\/2017.4.focus17134","type":"journal-article","created":{"date-parts":[[2017,7,1]],"date-time":"2017-07-01T03:36:24Z","timestamp":1498880184000},"page":"E2","source":"Crossref","is-referenced-by-count":8,"title":["Unilateral thalamic and pallidal deep brain stimulation for idiopathic hemidystonia: results of individual and combined stimulations. Case report"],"prefix":"10.3171","volume":"43","author":[{"given":"Victor","family":"Goulenko","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo Luiz","family":"da Costa Cruz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo","family":"Niemeyer Filho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Mov Disord","first-page":"1188","article-title":"Dystonia and tremor secondary to thalamic infarction successfully treated with thalamotomy of the ventralis intermedius nucleus","volume":"29","author":"\u00c1lvarez M","year":"2014","unstructured":"\u00c1lvarez M, Quintanal N, D\u00edaz A, Prince J, Garc\u00eda I, Carballo M, : Dystonia and tremor secondary to thalamic infarction successfully treated with thalamotomy of the ventralis intermedius nucleus. 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J Neurosurg 119:1537\u20131545, 2013"},{"key":"b21","series-title":"Clin Neurol Neurosurg","first-page":"16","article-title":"A prospective, randomized, blinded assessment of multitarget thalamic and pallidal deep brain stimulation in a case of hemidystonia","volume":"138","author":"Slotty PJ","year":"2015","unstructured":"Slotty PJ, Poologaindran A, Honey CR: A prospective, randomized, blinded assessment of multitarget thalamic and pallidal deep brain stimulation in a case of hemidystonia. Clin Neurol Neurosurg 138:16\u201319, 2015"},{"key":"b22","series-title":"J Neurol Neurosurg Psychiatry","first-page":"557","article-title":"Pallidal and thalamic neurostimulation in severe tardive dystonia","volume":"70","author":"Trottenberg T","year":"2001","unstructured":"Trottenberg T, Paul G, Meissner W, Maier-Hauff K, Taschner C, Kupsch A: Pallidal and thalamic neurostimulation in severe tardive dystonia. 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