Magnetic resonance-guided focused ultrasound;
MRgFUS;
Thalamotomy;
Essential tremor;
ET;
SAFETY;
D O I:
10.1227/ONS.0000000000000012
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
BACKGROUND:Magnetic resonance imaging-guided focused ultrasound (MRgFUS) thalamotomy is a rapidly evolving therapy for the treatment of essential tremor. Although the skull is a major determinant of the delivery of acoustic energy to the target, how the presence of a prior craniotomy must be accounted for during lesioning is unclear. OBJECTIVE:To demonstrate novel application of this therapeutic option in a patient with a history of prior craniotomies for unrelated intracranial pathologies. METHODS:A 55-yr-old man with a history of right frontal craniotomy for resection of a colloid cyst underwent a left ventrointermedius nucleus thalamotomy through MRgFUS. The prior craniotomy flap was not excluded in the treatment plan; however, all bony defects and hardware were marked as "no-pass" regions. Clinical outcomes were collected at the 6-mo follow-up. RESULTS:Transducer elements whose acoustic paths would have been altered by the craniotomy defect were turned off. Sonications reaching lesional temperatures of up to 56 degrees C were successfully delivered. The procedure was well-tolerated, without any persistent intra-ablation or postablation adverse effects. The presence of a lesion was confirmed on MRI, which was associated with a significant reduction in the patient's tremor that was sustained at the 6-mo follow-up. CONCLUSION:This case demonstrates the safety and efficacy of MRgFUS thalamotomy in a patient with prior craniotomies and highlights our strategy for acoustic lesioning in this setting.
机构:
Univ Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, CanadaUniv Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, Canada
Yamamoto, Kazuaki
Sarica, Can
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Univ Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, CanadaUniv Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, Canada
Sarica, Can
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Loh, Aaron
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Vetkas, Artur
Samuel, Nardin
论文数: 0引用数: 0
h-index: 0
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Univ Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, CanadaUniv Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, Canada
Samuel, Nardin
Milano, Vanessa
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h-index: 0
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Univ Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, CanadaUniv Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, Canada
Milano, Vanessa
Zemmar, Ajmal
论文数: 0引用数: 0
h-index: 0
机构:
Univ Louisville, Sch Med, Dept Neurosurg, Louisville, KY USA
Henan Univ, Henan Univ Peoples Hosp, Sch Med, Dept Neurosurg, Zhengzhou, Peoples R ChinaUniv Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, Canada
Zemmar, Ajmal
Germann, Juergen
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Univ Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, CanadaUniv Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, Canada
Germann, Juergen
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Cheyuo, Cletus
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Boutet, Alexandre
Elias, Gavin J. B.
论文数: 0引用数: 0
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Univ Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, CanadaUniv Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, Canada
Elias, Gavin J. B.
Ito, Hisashi
论文数: 0引用数: 0
h-index: 0
机构:
Shonantobu Gen Hosp, Dept Neurol, Kobe, Japan
Shonan Fujisawa Tokushukai Hosp, Dept Neurol, Fujisawa, JapanUniv Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, Canada
Ito, Hisashi
Taira, Takaomi
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Tokyo Womens Med Univ, Dept Neurosurg, Tokyo, JapanUniv Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, Canada
Taira, Takaomi
Lozano, Andres M.
论文数: 0引用数: 0
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Univ Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, Canada
Krembil Res Inst, Toronto, ON, Canada
Univ Toronto, Univ Hlth Network, Toronto Western Hosp, Div Neurosurg, 399 Bathurst St,WW 4-431, Toronto, ON M5T 2S8, CanadaUniv Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Surg,Div Neurosurg, Toronto, ON, Canada
机构:
West Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Harvard Med Sch, Beth Israel Deaconess Med Ctr, Dept Psychiat, Boston, MA 02215 USAWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Petersen, Julie
Mcgough, Josh
论文数: 0引用数: 0
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West Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USAWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Mcgough, Josh
Gopinath, Georgia
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Sunnybrook Res Inst, Hurvitz Brain Sci Program, Toronto, ON M4N 3M5, CanadaWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Gopinath, Georgia
Scantlebury, Nadia
论文数: 0引用数: 0
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Sunnybrook Res Inst, Harquail Ctr Neuromodulat, Toronto, ON M4N 3M5, CanadaWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Scantlebury, Nadia
Tripathi, Richa
论文数: 0引用数: 0
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Emory Univ, Sch Med, Dept Neurol, Jean & Paul Amos PD & Movement Disorders Program, Atlanta, GA 30307 USAWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Tripathi, Richa
Brandmeir, Cheryl
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West Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USAWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Brandmeir, Cheryl
Boshmaf, Silina Z.
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机构:West Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Boshmaf, Silina Z.
Brandmeir, Nicholas J.
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West Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Dept Neurosci, Morgantown, WV 26505 USAWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Brandmeir, Nicholas J.
Sewell, Isabella J.
论文数: 0引用数: 0
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Sunnybrook Res Inst, Hurvitz Brain Sci Program, Toronto, ON M4N 3M5, CanadaWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Sewell, Isabella J.
Konrad, Peter E.
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West Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Dept Neurosci, Morgantown, WV 26505 USA
West Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Dept Neurosurg, Morgantown, WV 26505 USAWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Konrad, Peter E.
Abrahao, Agessandro
论文数: 0引用数: 0
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机构:
Sunnybrook Res Inst, Hurvitz Brain Sci Program, Toronto, ON M4N 3M5, Canada
Sunnybrook Res Inst, Harquail Ctr Neuromodulat, Toronto, ON M4N 3M5, Canada
Univ Toronto, Sunnybrook Hlth Sci Ctr, Dept Med, Div Neurol, Toronto, ON M4N 3M5, CanadaWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Abrahao, Agessandro
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Murray, Ann
Lam, Benjamin
论文数: 0引用数: 0
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Sunnybrook Res Inst, Hurvitz Brain Sci Program, Toronto, ON M4N 3M5, Canada
Univ Toronto, Sunnybrook Hlth Sci Ctr, Dept Med, Div Neurol, Toronto, ON M4N 3M5, CanadaWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Lam, Benjamin
Ranjan, Manish
论文数: 0引用数: 0
h-index: 0
机构:
West Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Dept Neurosurg, Morgantown, WV 26505 USAWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Ranjan, Manish
Hamani, Clement
论文数: 0引用数: 0
h-index: 0
机构:
Sunnybrook Res Inst, Hurvitz Brain Sci Program, Toronto, ON M4N 3M5, Canada
Sunnybrook Res Inst, Harquail Ctr Neuromodulat, Toronto, ON M4N 3M5, Canada
Univ Toronto, Sunnybrook Hlth Sci Ctr, Dept Surg, Div Neurosurg, Toronto, ON M4N 3M5, CanadaWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Hamani, Clement
Frey, Jessica
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West Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Dept Neurol, Morgantown, WV 26505 USAWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Frey, Jessica
Rohringer, Camryn
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Sunnybrook Res Inst, Hurvitz Brain Sci Program, Toronto, ON M4N 3M5, CanadaWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Rohringer, Camryn
Mcsweeney, Melissa
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Sunnybrook Res Inst, Hurvitz Brain Sci Program, Toronto, ON M4N 3M5, CanadaWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Mcsweeney, Melissa
Mahoney, James J.
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West Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
West Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Dept Behav Med & Psychiat, Morgantown, WV 26505 USAWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Mahoney, James J.
Schwartz, Michael L.
论文数: 0引用数: 0
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Sunnybrook Res Inst, Hurvitz Brain Sci Program, Toronto, ON M4N 3M5, Canada
Univ Toronto, Sunnybrook Hlth Sci Ctr, Dept Surg, Div Neurosurg, Toronto, ON M4N 3M5, CanadaWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Schwartz, Michael L.
Rezai, Ali
论文数: 0引用数: 0
h-index: 0
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West Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Dept Neurosci, Morgantown, WV 26505 USA
West Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Dept Neurosurg, Morgantown, WV 26505 USAWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Rezai, Ali
Lipsman, Nir
论文数: 0引用数: 0
h-index: 0
机构:
Sunnybrook Res Inst, Hurvitz Brain Sci Program, Toronto, ON M4N 3M5, Canada
Sunnybrook Res Inst, Harquail Ctr Neuromodulat, Toronto, ON M4N 3M5, Canada
Univ Toronto, Sunnybrook Hlth Sci Ctr, Dept Surg, Div Neurosurg, Toronto, ON M4N 3M5, Canada
Univ Toronto, Sunnybrook Hlth Sci Ctr, Dept Psychiat, Toronto, ON M4N 3M5, CanadaWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Lipsman, Nir
Scarisbrick, David M.
论文数: 0引用数: 0
h-index: 0
机构:
West Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Dept Neurosci, Morgantown, WV 26505 USA
West Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Dept Behav Med & Psychiat, Morgantown, WV 26505 USAWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
Scarisbrick, David M.
Rabin, Jennifer S.
论文数: 0引用数: 0
h-index: 0
机构:
Sunnybrook Res Inst, Hurvitz Brain Sci Program, Toronto, ON M4N 3M5, Canada
Sunnybrook Res Inst, Harquail Ctr Neuromodulat, Toronto, ON M4N 3M5, Canada
Univ Toronto, Sunnybrook Hlth Sci Ctr, Dept Med, Div Neurol, Toronto, ON M4N 3M5, Canada
Univ Toronto, Rehabil Sci Inst, Toronto, ON M5G 1V7, CanadaWest Virginia Univ, Sch Med, Rockefeller Neurosci Inst, Morgantown, WV 26505 USA
机构:
Yonsei Univ, Coll Med, Dept Neurosurg, Brain Res Inst, Seoul 120752, South KoreaYonsei Univ, Coll Med, Dept Neurosurg, Brain Res Inst, Seoul 120752, South Korea
Chang, Won Seok
Jung, Hyun Ho
论文数: 0引用数: 0
h-index: 0
机构:
Yonsei Univ, Coll Med, Dept Neurosurg, Brain Res Inst, Seoul 120752, South KoreaYonsei Univ, Coll Med, Dept Neurosurg, Brain Res Inst, Seoul 120752, South Korea
Jung, Hyun Ho
Kweon, Eun Jung
论文数: 0引用数: 0
h-index: 0
机构:
Yonsei Univ, Coll Med, Dept Neurosurg, Brain Res Inst, Seoul 120752, South KoreaYonsei Univ, Coll Med, Dept Neurosurg, Brain Res Inst, Seoul 120752, South Korea
Kweon, Eun Jung
Zadicario, Eyal
论文数: 0引用数: 0
h-index: 0
机构:
Insightec Ltd, Tirat Carmel, IsraelYonsei Univ, Coll Med, Dept Neurosurg, Brain Res Inst, Seoul 120752, South Korea
Zadicario, Eyal
Rachmilevitch, Itay
论文数: 0引用数: 0
h-index: 0
机构:
Insightec Ltd, Tirat Carmel, IsraelYonsei Univ, Coll Med, Dept Neurosurg, Brain Res Inst, Seoul 120752, South Korea
Rachmilevitch, Itay
Chang, Jin Woo
论文数: 0引用数: 0
h-index: 0
机构:
Yonsei Univ, Coll Med, Dept Neurosurg, Brain Res Inst, Seoul 120752, South KoreaYonsei Univ, Coll Med, Dept Neurosurg, Brain Res Inst, Seoul 120752, South Korea
Chang, Jin Woo
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY,
2015,
86
(03):
: 257
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264