Efficacy of Thalamotomy and Thalamic Deep Brain Stimulation for the Treatment of Head Tremor
Journal of Korean Neurosurgical Society
; : 325-328, 2005.
Article
ي En
| WPRIM
| ID: wpr-32649
المكتبة المسؤولة:
WPRO
ABSTRACT
OBJECTIVE:
Stereotactic thalamic procedure is well known to be a effective treatment for disabling upper limb tremor of essential tremor. However, the effect of this procedure for head tremor, which is midline symptom of that disease entity, has not been sufficiently established. The authors discuss the result of stereotactic thalamic operations for head tremor of their patients who suffered from essential tremor.METHODS:
We evaluated 4 patients of essential tremor who had head tremor combined with both upper limb tremor. One patient underwent unilateral ventralis intermedius thalamotomy, two patients had unilateral Vim deep brain stimulation(DBS) and one patient had unilateral Vim thalamotomy and contralateral DBS. Postoperative results of tremor were evaluated using our proposed scale.RESULTS:
Contralateral upper limb tremors to surgical side were markedly resolved in all patients but there was no meaningful effect for head tremor in 3 patients who underwent unilateral thalamic surgery. In a patient having simultaneously unilateral thalamotomy and contralateral DBS, remarkable improvement of head tremor was observed.CONCLUSION:
Although it is difficult to evaluate the efficacy of thalamic surgery for axial symptom of essential tremor with a few cases, simultaneous unilateral thalamotomy and contralateral DBS would be expected to induce favorable outcomes for head tremor with significant economical advantages.Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Tremor
/
Brain
/
Essential Tremor
/
Upper Extremity
/
Deep Brain Stimulation
/
Head
المحددات:
Humans
اللغة:
En
مجلة:
Journal of Korean Neurosurgical Society
السنة:
2005
نوع:
Article