Deep Brain Stimulation of the Ventral Intermediate Nucleus of the Thalamus in Writer's Cramp: A Case Report.
Tremor Other Hyperkinet Mov (N Y)
; 11: 46, 2021.
Article
en En
| MEDLINE
| ID: mdl-34824889
ABSTRACT
Background:
Globus pallidus internus (GPi) deep brain stimulation (DBS) and thalamotomy are interventions for writer's cramp (WC). Ventralis intermedius nucleus (VIM) DBS is targeted for tremor, however, many aspects of VIM DBS remained underexplored in WC. Case Report A 62-year-old man with WC underwent DBS. Dystonic tremor improved intraoperatively with ventralis oralis anterior (VoA)/ventral oralis posterior (VoP) and with subthalamic nucleus stimulation; although greatest benefit was obtained with VIM stimulation. Sustained benefit with VIM DBS at ten months post-operative was obtained.Discussion:
This case demonstrates an intraoperative approach in target selection and supports benefits of VIM DBS for WC. Highlights This case highlights the intraoperative approach and clinical effects of VIM DBS in the treatment of medically refractory writer's cramp (WC). We contextualize our results from this case with previous reports of VoA/VoP stimulation for WC.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Trastornos Distónicos
/
Estimulación Encefálica Profunda
Límite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Tremor Other Hyperkinet Mov (N Y)
Año:
2021
Tipo del documento:
Article
País de afiliación:
Estados Unidos