Aligning Dentato-Rubro-Thalamic Tract and Subthalamic Nucleus Targets in a Patient with Comorbid Essential Tremor and Parkinson's Disease: Case Report

被引：0

作者：

Boogers, Alexandra ^{[1
,2
]}

Van Bogaert, Tine ^{[1
]}

Peeters, Jana ^{[1
]}

Kilic, Ugur ^{[3
]}

Sunaert, Stefan ^{[4
]}

Vandenberghe, Wim ^{[5
]}

Mc Laughlin, Myles ^{[1
]}

De Vloo, Philippe ^{[3
,6
]}

Nuttin, Bart ^{[3
,6
]}

机构：

[1] Katholieke Univ Leuven, Dept Neurosci, Expt Otorhinolaryngol, Leuven, Belgium

[2] UZ Leuven, Dept Neurol, Leuven, Belgium

[3] Katholieke Univ Leuven, Dept Neurosci, Expt Neurosurg & Neuroanat, Leuven, Belgium

[4] UZ Leuven, Dept Radiol, Leuven, Belgium

[5] Katholieke Univ Leuven, Dept Neurosci, Lab Parkinson Res, Leuven, Belgium

[6] UZ Leuven, Dept Neurosurg, Leuven, Belgium

来源：

STEREOTACTIC AND FUNCTIONAL NEUROSURGERY | 2023年 / 100卷 / 5-6期

关键词：

Deep brain stimulation; Parkinson's disease; Essential tremor; Parietal approach; Case report; DEEP BRAIN-STIMULATION; DOMINANT;

D O I：

10.1159/000527046

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Deep brain stimulation is an established treatment option for both essential tremor (ET) and Parkinson's disease (PD), although typically targeting different brain structures. Some patients are diagnosed with comorbid ET and PD. Selecting the optimal stimulation target in these patients is challenging. We present a patient with comorbid ET and PD in whom we used bilaterally a single parietal trajectory to align the dentato-rubro-thalamic tract and the subthalamic nucleus. Although parietal trajectories are challenging, we reached satisfactory outcomes for both conditions without complications. Single-electrode deep brain stimulation of the dentato-rubro-thalamic tract and the subthalamic nucleus through a parietal approach may represent a feasible treatment option in this patient group.

引用

页码：340 / 345

页数：6

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