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Popov V.A.

Burdenko Neurosurgical Institute;
Human Cell Neurophysiology Laboritory, N.N. Semenov Institute of Chemical Physics, Russian Academy of Sciences

Tomsky A.A.

Burdenko Neurosurgical Center

Gamaleya A.A.

Burdenko Neurosurgical Institute

Sedov A.S.

Human Cell Neurophysiology Laboritory, N.N. Semenov Institute of Chemical Physics, Russian Academy of Sciences

Historical view on the pathogenesis and surgical treatment of cervical dystonia

Authors:

Popov V.A., Tomsky A.A., Gamaleya A.A., Sedov A.S.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(7): 128‑133

DOI: 10.17116/jnevro2020120071128

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Table of contents

HISTORICAL VIEW ON THE PATHOGENESIS AND SURGICAL TREATMENT OF CERVICAL DYSTONIA
HISTORICAL VIEW ON THE PATHOGENESIS AND SURGICAL TREATMENT OF CERVICAL DYSTONIA

To cite this article:

Popov VA, Tomsky AA, Gamaleya AA, Sedov AS. Historical view on the pathogenesis and surgical treatment of cervical dystonia. S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(7):128‑133. (In Russ.)
https://doi.org/10.17116/jnevro2020120071128

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
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Abstract:

In the past few decades, approaches to surgical treatment of dystonia passed through paradigmatic shift. Intradural upper cervical anterior rhizotomy was replaced by selective peripheral denervation with lesser spectrum of side-effects. Such techniques as microvascular decompression of accessory nerve or spinal cord stimulation for cervical dystonia were abandoned due to lack of proven efficacy. Introducing globus pallidus interna (GPi) DBS in 1990’s to treat all types of dystonia, including cervical dystonia, was a fundamental factor. With the growing body of knowledge on the pathophysiology of dystonia, GPi DBS appears to be the most expedient, effective and safe method with limited indications to peripheral destructive procedures.

Keywords:

cervical dystonia
history of surgical treatment
deep brain stimulation
pallidotomy
thalamotomy
selective denervation

Authors:

Popov V.A.

Burdenko Neurosurgical Institute;
Human Cell Neurophysiology Laboritory, N.N. Semenov Institute of Chemical Physics, Russian Academy of Sciences

Tomsky A.A.

Burdenko Neurosurgical Center

Gamaleya A.A.

Burdenko Neurosurgical Institute

Sedov A.S.

Human Cell Neurophysiology Laboritory, N.N. Semenov Institute of Chemical Physics, Russian Academy of Sciences

Received:

30.04.2020

Accepted:

21.05.2020

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