Thalamic Deep Brain Stimulation for Orthostatic Tremor

نویسندگان

  • Toby C. Yaltho
  • William G. Ondo
چکیده

BACKGROUND Orthostatic tremor is an uncommon disorder manifest by high frequency, low amplitude leg tremor upon weight bearing. Treatment with oral tremor agents is inconsistent and usually not satisfactory. METHODS We implanted bilateral ventralis intermedius nuclei deep brain stimulators into an 82-year-old male with refractory orthostatic tremor. RESULTS The patient had a marked subjective and objective improvement in leg and arm tremor, mainly manifested by an improved ability to stand. DISCUSSION Bilateral thalamic deep brain stimulation may be considered in refractory cases of orthostatic tremor.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Thalamic Ventral Intermediate Nucleus Deep Brain Stimulation for Orthostatic Tremor

BACKGROUND Orthostatic tremor (OT) was first described in 1977. It is characterized by rapid tremor of 13-18 Hz and can be recorded in the lower limbs and trunk muscles. OT remains difficult to treat, although some success has been reported with deep brain stimulation (DBS). CASE REPORT We report a 68-year-old male with OT who did not improve significantly after bilateral thalamic stimulation...

متن کامل

Orthostatic Tremor Responds to Bilateral Thalamic Deep Brain Stimulation

BACKGROUND Orthostatic tremor (OT) is a disabling movement disorder manifested by postural and gait disturbance. Primarily a condition of elderly people, it can be progressive in up to 15% of patients. The primary treatments are medications that are often ineffective. CASE REPORT A 75-year-old male presented with a 10-year history of progressive and disabling OT. He had tried various medicati...

متن کامل

Orthostatic tremor: a review of 45 cases.

OBJECTIVE To evaluate the clinical characteristics, associated features, and treatment response of a large orthostatic tremor series seen over a 26-year period. METHODS We reviewed the medical records of 45 patients seen between 1987 and 2013 who fulfilled the diagnostic criteria for orthostatic tremor. RESULTS The mean age at onset was 59.5 years and 23/45 (51%) were men. A family history ...

متن کامل

Vocal Tremor: Novel Therapeutic Target for Deep Brain Stimulation

Tremulous voice is characteristically associated with essential tremor, and is referred to as essential vocal tremor (EVT). Current estimates suggest that up to 40% of individuals diagnosed with essential tremor also present with EVT, which is associated with an impaired quality of life. Traditional EVT treatments have demonstrated limited success in long-term management of symptoms. However, v...

متن کامل

Op-brai160145 2198..2210

Deep brain stimulation is an established neurosurgical therapy for movement disorders including essential tremor and Parkinson’s disease. While typically highly effective, deep brain stimulation can sometimes yield suboptimal therapeutic benefit and can cause adverse effects. In this study, we tested the hypothesis that intraoperative functional magnetic resonance imaging could be used to detec...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 1  شماره 

صفحات  -

تاریخ انتشار 2011