Medial Gamma Knife thalamotomy for intractable pain

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Outcome of Gamma Knife Thalamotomy in Patients with an Intractable Tremor

OBJECTIVE Tremor is a common movement disorder that interferes with daily living. Since the medication for tremor has some limitations, surgical intervention is needed in many patients. In certain patients who cannot undergo aggressive surgical intervention, Gamma Knife thalamotomy (GKT) is a safe and effective alternative. METHODS From June 2012 to August 2013, 7 patients with an intractable...

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Gamma knife thalamotomy for disabling tremor: a blinded evaluation.

BACKGROUND Gamma knife thalamotomy (GKT) has been used as a therapeutic option for patients with disabling tremor refractory to medications. Impressive improvement of tremor has been reported in the neurosurgical literature, but the reliability of such data has been questioned. OBJECTIVE To prospectively evaluate clinical outcomes after GKT for disabling tremor with blinded assessments. DES...

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Gamma Knife Pituitary Radiosurgery for Intractable Pain: New Treatment Trial of Thalamic Pain Syndrome

Rationale Cancer pain related to bone metastasis is one of typical pain, and has been controlled well using Gamma knife pituitary radiosurgery (GKPR) without any significant complication. One clinical report notes that central pain such as thalamic pain syndrome can also be controlled with chemical hypophysectomy, although it is accompanied with transiently diabetes insipidus. This historical e...

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A prospective single-blind study of Gamma Knife thalamotomy for tremor.

OBJECTIVE To evaluate the safety and efficacy of unilateral Gamma Knife thalamotomy (GKT) for treatment of severe tremor with a prospective blinded assessment. METHODS Fifty patients (mean age: 74.5 years; 32 men) with severe refractory tremor (36 essential, 14 parkinsonian) were treated with unilateral GKT. Targeting of the ventral intermediate nucleus (Vim) was achieved with Leksell Gamma K...

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Gamma Knife thalamotomy for tremor in the magnetic resonance imaging era.

OBJECT The surgical management of disabling tremor has gained renewed vigor with the availability of deep brain stimulation. However, in the face of an aging population of patients with increasing surgical comorbidities, noninvasive approaches for tremor management are needed. The authors' purpose was to study the technique and results of stereotactic radiosurgery performed in the era of MRI ta...

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ژورنال

عنوان ژورنال: Journal of Neurosurgery

سال: 2018

ISSN: 0022-3085,1933-0693

DOI: 10.3171/2018.7.gks181583