Stereotactic neurosurgery for tremor
Johannes D. Speelman, Richard Schuurman, Rob M.A. de Bie, Rianne A.J. Esselink, D. Andries Bosch
Abstract
Johannes D. Speelman, Richard Schuurman, Rob M.A. de Bie, Rianne A.J. Esselink, D. Andries Bosch
Abstract
The role of the motor thalamus as surgical target in stereotactic neurosurgery for different kinds of tremor is discussed. For tremor in Parkinson's disease, the subthalamic nucleus becomes more and more often the surgical target, because this target also gives relief of other and more incapacitating symptoms (hypokinesia, rigidity). Stimulation is as effective in tremor suppression as coagulation but has less adverse events and permits bilateral surgery. In selected cases, thalamotomy can still be indicated.
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The role of the motor thalamus as surgical target in stereotactic neurosurgery for different kinds of tremor is discussed. For tremor in Parkinson's disease, the subthalamic nucleus becomes more and more often the surgical target, because this target also gives relief of other and more incapacitating symptoms (hypokinesia, rigidity). Stimulation is as effective in tremor suppression as coagulation but has less adverse events and permits bilateral surgery. In selected cases, thalamotomy can still be indicated.
Key concepts: Thalamotomy, Deep brain stimulation, Stereotactic surgery, Neurosurgery, Essential tremor, Medicine, Subthalamic nucleus, Thalamic stimulator