PMC4765245_01
Preoperative views of the patient
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F1
There was obvious and exaggerated bending posture in erection and moving [Figure 1], the unpleasant and sensible level of pain from the waist region diminished while sitting and totally while lying.
The preoperative lumbar spinal magnetic resonance imaging (T1-weighted axial and sagittal views)
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F2
She was diagnosed with L5-S1 disc disease with diffuse bulging and posterior central extruded herniation [Figure 2]. Lumbar MRI showed the lumbar laminectomy and discectomy [Figure 2].
Lateral view of the patient after bilateral subthalamic nucleus-deep brain stimulation at 1st year
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F3
The BFM score went down to 2 six months after the DBS installation; MED ON-MED OFF UPDRS scores were 14 and 20 at postoperative period, the dystonic truncal bending became insignificant clinically, the provoking factor was minimal dystonia in particular action, and bending was <10  [Figures 3 and 4].
Lateral view of the patient after bilateral subthalamic nucleus-deep brain stimulation at 6th month
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F4
The BFM score went down to 2 six months after the DBS installation; MED ON-MED OFF UPDRS scores were 14 and 20 at postoperative period, the dystonic truncal bending became insignificant clinically, the provoking factor was minimal dystonia in particular action, and bending was <10  [Figures 3 and 4].