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.
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]
Copyright of Acta Neurologica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
  Group: Ti
  Data: Efficacy and Safety of Thalamotomy for Focal Hand Dystonia: A Systematic Review.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Yang%2C+Ruiqing%22">Yang, Ruiqing</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Xiong%2C+Botao%22">Xiong, Botao</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shi%2C+Xiaoman%22">Shi, Xiaoman</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huang%2C+Xinyuejia%22">Huang, Xinyuejia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wang%2C+Wei%22">Wang, Wei</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Colosimo%2C+Carlo%22">Colosimo, Carlo</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Acta+Neurologica+Scandinavica%22">Acta Neurologica Scandinavica</searchLink>. 5/5/2025, Vol. 2025, p1-8. 8p.
– Name: Subject
  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22Focal+dystonia%22">Focal dystonia</searchLink><br /><searchLink fieldCode="DE" term="%22Safety%22">Safety</searchLink><br /><searchLink fieldCode="DE" term="%22Surgical+complications%22">Surgical complications</searchLink><br /><searchLink fieldCode="DE" term="%22Operative+surgery%22">Operative surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Surgery%22">Surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Neuromuscular+system+physiology%22">Neuromuscular system physiology</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Acta Neurologica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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        Value: 10.1155/ane/5526568
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      – Code: eng
        Text: English
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        PageCount: 8
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      – SubjectFull: Focal dystonia
        Type: general
      – SubjectFull: Safety
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      – SubjectFull: Surgical complications
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      – SubjectFull: Neuromuscular system physiology
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      – TitleFull: Efficacy and Safety of Thalamotomy for Focal Hand Dystonia: A Systematic Review.
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              Text: 5/5/2025
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              Y: 2025
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