Bilateral globus pallidus internus (GPi) deep brain stimulation (DBS) in a
patient with severe idiopathic generalized dystonia resulted in immediate i
mprovement of all aspects of dystonia. During joystick movement, GPi DBS re
duced PET activation bilaterally in the primary motor, lateral premotor, su
pplementary motor, anterior cingulate, and prefrontal areas and ipsilateral
ly in the lentiform nucleus. Altering basal ganglia function with GPi DBS r
everses the overactivity of certain motor cortical areas present in dystoni
a.