Surgical Neurology International, 2022 · DOI: 10.25259/SNI_474_2022 · Published: August 26, 2022
This case report discusses a rare condition: focal hand dystonia (abnormal, involuntary movements and postures of the hand) that developed after a whiplash injury to the neck. The patient was successfully treated with a surgical procedure called thalamotomy, which involves creating a small lesion in a specific area of the brain (thalamus) to interrupt the abnormal signals causing the dystonia. The report suggests that this type of thalamotomy (Vo-Vim thalamotomy) can be an effective treatment option for focal hand dystonia that occurs after a whiplash injury when other treatments are not effective.
Vo-Vim thalamotomy can be considered as a surgical treatment option for posttraumatic focal hand dystonia after cervical whiplash injury.
The target should be more on the posterior side, Vim coagulation was added. The Vop-Vim may be a target for focal hand dystonia in the cases of failure of Vo thalamotomy
Individually tailored treatment choice is important for the management of symptomatic recurrence.