"Lubag" or X-linked dystonia-parkinsonism (XDP) is a genetic syndrome afflicting 
Filipino men. Intracranial surgical procedures for Lubag have been unsuccessful. 
We report a 45-year-old Filipino male with genetically confirmed XDP who 
underwent bilateral pallidal deep brain stimulation (DBS) surgery. The patient 
started to exhibit improvement on initial programming, most notably of his 
severe jaw-opening dystonia. At 1-year follow-up, his Burke-Fahn-Marsden 
dystonia score and motor Unified Parkinson's Disease Rating Scale score were 
improved by 71% and 62%, respectively, with the stimulators on compared to 
stimulators off state. Bilateral pallidal DBS may be a viable option for Lubag 
patients with medically refractory symptoms.