Surgery for tardive dyskinesia

Int Rev Neurobiol. 2011:98:289-96. doi: 10.1016/B978-0-12-381328-2.00012-2.

Abstract

Tardive dyskinesia (TD) is an often bothersome side effect of antipsychotic treatment. Medical treatment options are usually disappointing. A few single case reports have suggested some efficacy of lesionning surgery (i.e. pallidotomy or thalamotomy). A much greater number of series (including one controlled-study) have assessed the effects of deep brain stimulation applied to the internal globus pallidus. All of them have shown a marked improvement of motor symptoms without any major psychiatric side effects.

Publication types

  • Review

MeSH terms

  • Antipsychotic Agents / adverse effects
  • Deep Brain Stimulation / methods
  • Globus Pallidus / physiology
  • Humans
  • Movement Disorders / etiology
  • Movement Disorders / therapy*
  • Pallidotomy / methods
  • Thalamus / physiology
  • Thalamus / surgery

Substances

  • Antipsychotic Agents