The idea that lesion of the nucleus dentatus may stop the pathological mechanism of Ramsey-Hunt disease led us to perform a dentatotomy in a female patient aged 28, who suffered from myoclonic movements for 6 years. Surgery was carried out by transtentorial approach from a burr hole in the right temporo-occipital region. The coagulation electrode was introduced first into the right nucleus dentatus; after its coagulation, myoclonic movements in the right extremities disappeared. For this reason, the left nucleus dentatus was also destroyed by introducing the electrode into the left side from the same right side burr hole through the midline. All myoclonic movements stopped at least transitorily.

Keywords:
Myoclonic disease of Ramsey-Hunt, Transtentorial bilateral dentatotomy from the right side, Transitory disappearance of signs
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© 1972 S. Karger AG, Basel
1972
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