Cavitation with low-energy sonication during focused ultrasound thalamotomy for a patient with tremor-dominant Parkinson's disease: a potential risk

被引：2

作者：

Yamaguchi, Toshio ^{[1
,2
]}

Nakano, Masayuki ^{[3
]}

Sasanuma, Jinichi ^{[3
]}

Takasaki, Masahito ^{[4
]}

Maki, Futaba ^{[5
]}

Hino, Sakae ^{[5
]}

Kaburagi, Mayumi ^{[5
]}

Iijima, Ken ^{[1
]}

Iwamuro, Hirokazu ^{[6
]}

Watanabe, Kazuo ^{[7
]}

机构：

[1] Int Acad Focused Ultrasound Therapy, Kawasaki, Kanagawa 2150023, Japan

[2] Shin Yurigaoka Gen Hosp, Res Inst Diagnost Radiol, Kawasaki, Kanagawa, Japan

[3] Shin Yurigaoka Gen Hosp, Dept Neurosurg, Kawasaki, Kanagawa, Japan

[4] Shin Yurigaoka Gen Hosp, Dept Anesthesiol, Kawasaki, Kanagawa, Japan

[5] Shin Yurigaoka Gen Hosp, Dept Neurol, Kawasaki, Kanagawa, Japan

[6] Juntendo Univ, Dept Neurosurg, Tokyo, Japan

[7] Southern Tohoku Res Inst Neurosci, Koriyama, Fukushima, Japan

来源：

ACTA NEUROCHIRURGICA | 2023年 / 165卷 / 05期

关键词：

Tremor-dominant Parkinson's disease; Resting tremor; Focused ultrasound thalamotomy; Magnetic resonance-guided focused ultrasound; Cavitation; Mechanical bioeffect; THRESHOLD; ABLATION; SURGERY;

D O I：

10.1007/s00701-023-05551-4

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We report a patient with tremor-dominant Parkinson's disease who had a mild cavitation bioeffect during magnetic resonance-guided focused ultrasound thalamotomy. During the aligning phase with low-energy sonication, cavitation caused mild dysarthria and paresthesia, prompting treatment cessation. At the same time, tremor and rigidity improved. MRI revealed extensive high-intensity lesions in the thalamus 1 day after the procedure followed by steroid infusion, which resulted in resolution of adverse events. Tremor and rigidity improved 1.5 years after the procedure. Although cavitation can relieve tremors and rigidity, it should be carefully monitored due to potential permanent adverse events by unpredictable and unknown behaviors.

引用

页码：1195 / 1200

页数：6

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