Efficacy and Safety of Thalamotomy for Focal Hand Dystonia: A Systematic Review.
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| Title: | Efficacy and Safety of Thalamotomy for Focal Hand Dystonia: A Systematic Review. |
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| Authors: | Yang, Ruiqing (AUTHOR), Xiong, Botao (AUTHOR), Shi, Xiaoman (AUTHOR), Huang, Xinyuejia (AUTHOR), Wang, Wei (AUTHOR), Colosimo, Carlo (AUTHOR) |
| Source: | Acta Neurologica Scandinavica. 5/5/2025, Vol. 2025, p1-8. 8p. |
| Subjects: | Focal dystonia, Safety, Surgical complications, Operative surgery, Surgery, Treatment effectiveness, Neuromuscular system physiology |
| Abstract: | Background: Focal hand dystonia (FHD) has a significant impact on the hand motor function, especially for writers and musicians. Recently, many neurosurgeons have used thalamotomy to treat refractory FHD; this systematic review is aimed at assessing the efficacy and safety of thalamotomy for FHD. Methods: PubMed, Medline, and Embase were searched to select relevant studies concerning thalamotomy for FHD. Demographic characteristics, surgical parameters, efficacy, and safety were extracted. Results:A systematic review was performed including 254 patients among 15 studies. The writer's cramp rating scale (WCRS), writing movement scores (WMS), and symptom severity scores (SSS) were assessed for hand dystonia disability. Besides, Tubiana musician's dystonia scale (TMDS) and task‐specific focal hand dystonia's scale (TSFD) were assessed for hand motor performance. Transient complications were reported in 48 patients (18.9%) with permanent complications occurring in nine cases (3.5%). Conclusion: Thalamotomy is an alternative option for FHD. Thalamotomy can alleviate hand dystonia disability and improve hand motor function. Although thalamotomy has certain complications, the incidence of permanent complications is relatively low. Thalamotomy needs to be fully evaluated before surgery to ensure safety. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Background: Focal hand dystonia (FHD) has a significant impact on the hand motor function, especially for writers and musicians. Recently, many neurosurgeons have used thalamotomy to treat refractory FHD; this systematic review is aimed at assessing the efficacy and safety of thalamotomy for FHD. Methods: PubMed, Medline, and Embase were searched to select relevant studies concerning thalamotomy for FHD. Demographic characteristics, surgical parameters, efficacy, and safety were extracted. Results:A systematic review was performed including 254 patients among 15 studies. The writer's cramp rating scale (WCRS), writing movement scores (WMS), and symptom severity scores (SSS) were assessed for hand dystonia disability. Besides, Tubiana musician's dystonia scale (TMDS) and task‐specific focal hand dystonia's scale (TSFD) were assessed for hand motor performance. Transient complications were reported in 48 patients (18.9%) with permanent complications occurring in nine cases (3.5%). Conclusion: Thalamotomy is an alternative option for FHD. Thalamotomy can alleviate hand dystonia disability and improve hand motor function. Although thalamotomy has certain complications, the incidence of permanent complications is relatively low. Thalamotomy needs to be fully evaluated before surgery to ensure safety. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00016314 |
| DOI: | 10.1155/ane/5526568 |
