학술논문

Deep brain stimulation for dystonia: a novel perspective on the value of genetic testing.
Document Type
Article
Source
Journal of Neural Transmission. Apr2017, Vol. 124 Issue 4, p417-430. 14p.
Subject
*TREATMENT of dystonia
*DEEP brain stimulation
*GENETIC testing
*DYSTONIA
*TREATMENT effectiveness
*DIAGNOSIS
Language
ISSN
0300-9564
Abstract
The dystonias are a group of disorders characterized by excessive muscle contractions leading to abnormal movements and postures. There are many different clinical manifestations and underlying causes. Deep brain stimulation (DBS) provides an effect treatment, but outcomes can vary considerably among the different subtypes of dystonia. Several variables are thought to contribute to this variation including age of onset and duration of dystonia, specific characteristics of the dystonic movements, location of stimulation and stimulator settings, and others. The potential contributions of genetic factors have received little attention. In this review, we summarize evidence that some of the variation in DBS outcomes for dystonia is due to genetic factors. The evidence suggests that more methodical genetic testing may provide useful information in the assessment of potential surgical candidates, and in advancing our understanding of the biological mechanisms that influence DBS outcomes. [ABSTRACT FROM AUTHOR]