Pistol Shooting Dystonia Treated with Thalamotomy

Masahiko Nishitani; Shiro Horisawa; Taku Nonaka; Kotaro Kohara; Tatsuki Mochizuki; Takakzu Kawamata; Takaomi Taira

doi:10.5334/tohm.779

Pistol Shooting Dystonia Treated with Thalamotomy

Tremor Other Hyperkinet Mov (N Y). 2023 Sep 4:13:32. doi: 10.5334/tohm.779. eCollection 2023.

Authors

Masahiko Nishitani¹, Shiro Horisawa¹, Taku Nonaka¹, Kotaro Kohara¹, Tatsuki Mochizuki¹, Takakzu Kawamata¹, Takaomi Taira¹

Affiliation

¹ Department of Neurosurgery, Tokyo Women's Medical University, Tokyo, JP.

Abstract

Background: Neurosurgical treatment for pistol shooting dystonia has not been studied.

Case report: The patient was a 41-year-old woman who participated in the Olympic Games four times as a shooting player. Five months after the final Tokyo Olympic trials, she developed dystonia of the right index finger when shooting. Stereotactic thalamotomy was performed, and a complete resolution of dystonia was achieved. She garnered her personal best score and placed fifth in the Tokyo Olympics.

Discussion: Thalamotomy along with deep brain stimulation can be a surgical modality for patients with task-specific dystonia who fail oral medications or botulinum toxin therapy.

Keywords: dystonia; pistol shooting; thalamotomy.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Dystonia*
Dystonic Disorders* / surgery
Female
Humans
Neurosurgical Procedures

Grants and funding

This work was supported by by JSPS KAKENHI Grant Number JP21K09113 and Japan Brain Foundation.