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J Neurol Neurosurg Psychiatry ; 85(7): 811-5, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-24306513

RESUMEN

OBJECTIVES: To evaluate the efficacy of deep brain stimulation (DBS) in the treatment of tremor resulting from acquired brain injury (ABI). METHODS: A series of eight consecutive patients with post-ABI tremor were treated with DBS of the ventro-oralis posterior (VOP)/zona incerta (ZI) region, and subsequently underwent blinded assessments using Bain's tremor severity scale. RESULTS: VOP/ZI DBS produced a mean reduction in tremor severity of 80.75% based on Bain's tremor severity scale, with significant reductions in all five component tremor subscores: rest, postural, kinetic, proximal and distal. No adverse neurological complications were reported, although one patient experienced exacerbation of pre-existing gait ataxia. CONCLUSION: VOP/ZI stimulation is demonstrated here to be an effective and safe approach for the treatment of post-ABI tremor in the largest series published at the time of writing.


Asunto(s)
Lesiones Encefálicas/complicaciones , Estimulación Encefálica Profunda , Temblor/terapia , Adulto , Anciano , Estimulación Encefálica Profunda/efectos adversos , Estimulación Encefálica Profunda/métodos , Electrodos Implantados , Femenino , Humanos , Masculino , Índice de Severidad de la Enfermedad , Método Simple Ciego , Resultado del Tratamiento , Temblor/etiología , Adulto Joven
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