Successful Thalamic Deep Brain Stimulation for Orthostatic Tremor

被引:52
作者
Guridi, Jorge [1 ,2 ]
Rodriguez-Oroz, Maria C. [1 ,2 ]
Arbizu, Javier [3 ]
Alegre, Manuel [1 ,2 ]
Prieto, Elena [3 ]
Landecho, Ignacio [4 ]
Manrique, Miguel [1 ]
Artieda, Julio [1 ,2 ]
Obeso, Jose A. [1 ,2 ]
机构
[1] Univ Navarra, Clin Univ, Dept Neurol Neurophysiol & Neurosurg, Pamplona 3108, Spain
[2] Univ Navarra, CIMA, Neurosci Area, E-31080 Pamplona, Spain
[3] Univ Navarra, Clin Univ, Dept Nucl Med, E-31080 Pamplona, Spain
[4] Univ Navarra, Clin Univ, Dept Psychiat, E-31080 Pamplona, Spain
关键词
orthostatic tremor; deep brain stimulation; ventralis intermedius nucleus; positron emission tomography;
D O I
10.1002/mds.22001
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We report it patient with severe orthostatic tremor (OT) unresponsive to pharmacological treatments that was successfully controlled with thalamic (Vim. ventralis intermedius nucleus) deep brain stimulation (DBS) over a 4-year period. Cortical activity associated with the 0,17 revealed by EEG back-averaging and fluoro-deoxi-glucose PET were also suppressed in parallel with tremor arrest. This case suggests that Vim-DBS may be a useful therapeutic approach for patients highly disabled by OT. (C) 2008 Movement Disorder Society.
引用
收藏
页码:1808 / 1811
页数:4
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