Magnetic Resonance Imaging-guided Focused Ultrasound Thalamotomy for Parkinson's Disease

被引：18
作者：
Ito, Hisashi [1 ]
Fukutake, Shigeru [1 ]
Yamamoto, Kazuaki [2 ]
Yamaguchi, Toshio [3 ]
Taira, Takaomi [4 ]
Kamei, Tetsumasa [1 ]
机构：
[1] Shonan Fujisawa Tokushukai Hosp, Dept Neurol, Fujisawa, Kanagawa, Japan
[2] Shonan Kamakura Gen Hosp, Dept Neurosurg, Kamakura, Kanagawa, Japan
[3] Shin Yurigaoka Gen Hosp, Res Inst Diagnost Imaging, Kawasaki, Kanagawa, Japan
[4] Tokyo Womens Med Univ, Dept Neurosurg, Tokyo, Japan
来源：
INTERNAL MEDICINE | 2018年 / 57卷 / 07期
关键词：
Parkinson's disease; MRI guided focused ultrasound; thalamotomy; ventral intermediate nucleus; ventro oralis posterior nucleus; TREMOR;
D O I：
10.2169/internalmedicine.9586-17
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Thalamotomy is effective in treating refractory tremor in Parkinson's disease (PD). We herein report a PD patient who underwent left ventral intermediate nucleus and ventro oralis posterior nucleus thalamotomy using magnetic resonance imaging-guided focused ultrasound (MRgFUS). Right-side resting tremor and rigidity were abolished immediately following the ultrasound energy delivery. In addition, left-side resting tremor and rigidity also improved. No adverse events occurred during the procedure. We observed the exacerbation of bradykinesia, which might have been caused by edema around the target. This is the first report of thalamotomy using MRgFUS for PD patient from Japan. Further investigations concerning the efficacy and safety of this procedure are necessary.
引用
收藏
页码：1027 / 1031
页数：5
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