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I read with interest the recent case report by Chang and colleagues on unilateral deep brain stimulation (DBS) of the globus pallidus internus (GPi) in a patient with delayed-onset posttraumatic cervical dystonia.1 I congratulate the authors reporting another patient with cervical dystonia responding to GPi DBS. The unique feature in their case is that unilateral stimulation only was used. They report on a 23 year old man who developed cervical dystonia with head turning to the left three years after he sustained a severe closed head injury. Magnetic resonance (MR) studies five days after the injury demonstrated focal lesions of the left pallidum, but also of the right thalamus. Six years later only the left pallidal lesion could be appreciated by MR studies. The authors chose to implant a quadripolar DBS electrode in the left GPi for chronic stimulation. They further report that during chronic stimulation the patient’s cervical dystonia improved, and that he could turn his head to the midline easier than preoperatively. The improvement was not assessed by standard rating scales for …