Anesthetic management of deep brain stimulator implantation in Meige′s syndrome

Meige′s syndrome is rare form of orofacial dystonia. There is unfortunately no cure, but occasionally patients may improve with time. We present the successful management of a palladial deep brain stimulator (DBS) implantation for Meige′s syndrome. Dexmedetomidine infusion was used for sedation. The...

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Main Authors: Kalpesh V Bhoyar, Pinakin Gujjar, Shashikant Shinde, Nirav Kotak
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Journal of Anaesthesiology Clinical Pharmacology
Subjects:
Online Access:http://www.joacp.org/article.asp?issn=0970-9185;year=2012;volume=28;issue=1;spage=111;epage=113;aulast=Bhoyar
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author Kalpesh V Bhoyar
Pinakin Gujjar
Shashikant Shinde
Nirav Kotak
author_facet Kalpesh V Bhoyar
Pinakin Gujjar
Shashikant Shinde
Nirav Kotak
author_sort Kalpesh V Bhoyar
collection DOAJ
description Meige′s syndrome is rare form of orofacial dystonia. There is unfortunately no cure, but occasionally patients may improve with time. We present the successful management of a palladial deep brain stimulator (DBS) implantation for Meige′s syndrome. Dexmedetomidine infusion was used for sedation. The procedure lasted for around 12 h and the patient was comfortable, responsive, and cooperative over the extended period of time. The surgeons were comfortable with electrophysiologic brain mapping and clinical testing. DBS were implanted, through a burr hole, into the globus pallidus neurophysiological testing under guidance. The pulse generator battery was subcutaneously implanted into the chest wall under general anesthesia. The implanted pulse generator battery was started 2 days later and the patient showed dramatic improvement in his symptoms.
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spelling doaj.art-93639abd068743918ea3c9f64684a7a02022-12-22T02:26:35ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852012-01-0128111111310.4103/0970-9185.92459Anesthetic management of deep brain stimulator implantation in Meige′s syndromeKalpesh V BhoyarPinakin GujjarShashikant ShindeNirav KotakMeige′s syndrome is rare form of orofacial dystonia. There is unfortunately no cure, but occasionally patients may improve with time. We present the successful management of a palladial deep brain stimulator (DBS) implantation for Meige′s syndrome. Dexmedetomidine infusion was used for sedation. The procedure lasted for around 12 h and the patient was comfortable, responsive, and cooperative over the extended period of time. The surgeons were comfortable with electrophysiologic brain mapping and clinical testing. DBS were implanted, through a burr hole, into the globus pallidus neurophysiological testing under guidance. The pulse generator battery was subcutaneously implanted into the chest wall under general anesthesia. The implanted pulse generator battery was started 2 days later and the patient showed dramatic improvement in his symptoms.http://www.joacp.org/article.asp?issn=0970-9185;year=2012;volume=28;issue=1;spage=111;epage=113;aulast=BhoyarDexmedetomidinedeep brain stimulatorMeige
spellingShingle Kalpesh V Bhoyar
Pinakin Gujjar
Shashikant Shinde
Nirav Kotak
Anesthetic management of deep brain stimulator implantation in Meige′s syndrome
Journal of Anaesthesiology Clinical Pharmacology
Dexmedetomidine
deep brain stimulator
Meige
title Anesthetic management of deep brain stimulator implantation in Meige′s syndrome
title_full Anesthetic management of deep brain stimulator implantation in Meige′s syndrome
title_fullStr Anesthetic management of deep brain stimulator implantation in Meige′s syndrome
title_full_unstemmed Anesthetic management of deep brain stimulator implantation in Meige′s syndrome
title_short Anesthetic management of deep brain stimulator implantation in Meige′s syndrome
title_sort anesthetic management of deep brain stimulator implantation in meige s syndrome
topic Dexmedetomidine
deep brain stimulator
Meige
url http://www.joacp.org/article.asp?issn=0970-9185;year=2012;volume=28;issue=1;spage=111;epage=113;aulast=Bhoyar
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AT shashikantshinde anestheticmanagementofdeepbrainstimulatorimplantationinmeigessyndrome
AT niravkotak anestheticmanagementofdeepbrainstimulatorimplantationinmeigessyndrome