{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:41:46Z","timestamp":1792806106187,"version":"4.5.0"},"reference-count":38,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>The objective of this study was to assess the efficacy of unilateral pallidotomy in patients with asymmetrical cervical dystonia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This study retrospectively included 25 consecutive patients with asymmetrical cervical dystonia refractory to botulinum toxin injections, who underwent unilateral pallidotomy between January 2015 and April 2017. Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) scores were evaluated preoperatively and 1 week, 3 months, and 6 months postoperatively. The clinical responses were defined as good responders, exhibiting &gt; 50% improvement in the TWSTRS score at 6 months postsurgery, or poor responders, exhibiting &lt; 50% improvement in TWSTRS scores at 6 months postsurgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Twelve and 9 patients showed right- and left-side rotation, respectively; 1 and 3 patients had right- and left-side laterocollis, respectively. The mean age of onset and duration of the disease were 40.2 \u00b1 13.9 and 8.9 \u00b1 10.9 years, respectively. Mean TWSTRS scores were 38.4 \u00b1 12.6 (p &lt; 0.001), 17.3 \u00b1 12.4 (p &lt; 0.001), 19.5 \u00b1 13.4 (p &lt; 0.001), and 20.0 \u00b1 14.7 (p &lt; 0.001), preoperatively and 1 week, 3 months, and 6 months postoperatively, respectively. Fourteen patients (56%) demonstrated &gt; 50% improvement in their TWSTRS total score (mean improvement of TWSTRS total score = 70.5%) 6 months postsurgically. Furthermore, preoperative TWSTRS severity score was a prognostic factor (odds ratio 1.37, 95% confidence interval 1.06\u20131.78, p = 0.003).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>These results suggest that unilateral pallidotomy is an acceptable treatment option for asymmetrical cervical dystonia. Further investigations with a larger number of cases and longer follow-up period are required to confirm these data.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2019.9.jns191202","type":"journal-article","created":{"date-parts":[[2019,12,27]],"date-time":"2019-12-27T20:46:21Z","timestamp":1577479581000},"page":"216-222","source":"Crossref","is-referenced-by-count":12,"title":["Unilateral pallidotomy in the treatment of cervical dystonia: a retrospective observational study"],"prefix":"10.3171","volume":"134","author":[{"given":"Shiro","family":"Horisawa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Fukui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kotaro","family":"Kohara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takakazu","family":"Kawamata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takaomi","family":"Taira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Appl Neurophysiol","first-page":"122","article-title":"Combined stereotactic and peripheral surgical approach for spasmodic torticollis","volume":"41","author":"Bertrand C","year":"1978","unstructured":"Bertrand C, Molina-Negro P, Martinez SN: Combined stereotactic and peripheral surgical approach for spasmodic torticollis. 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