Dystonia is a disease that continues with involuntary contractions in all or part of the body. The cause of the disease is a functional disorder in the centers of the deep brain that control movement.
Dystonias have various causes; the main ones are: brain damage during birth (cerebral palsy, cerebral palsy), drug-induced dyskinesias, structural and genetic causes (consanguineous marriages, etc.).
Various surgical methods are used in the treatment of dystonias. These methods are largely similar to the surgical treatment of Parkinson’s disease. The main ones are deep brain neurostimulation (brain pacemaker), thalamotomy, campotomy and pallidotomy.
The response of dystonia to surgical treatment varies. The results of the surgery vary from patient to patient. While some patients benefit significantly after surgery, less improvement is observed in others. It is often difficult to predict recovery status before performing surgery. Most patients show a slow recovery in the long term, 3 to 24 months after surgery. In general, drug-induced dyskinesias, dystonias involving one side of the body, and genetically-induced dystonias benefit more from surgery; It can be said that dystonias due to brain damage (cerebral palsy, cerebral palsy) occurring during birth benefit less.
Prof. Dr. Ali Savas
