Deep brain stimulation of VIM thalamic nucleus for tremor control

被引:1
作者
Nasser, JA
Falavigna, A
Alaminos, A
Bonatelli, AD
Ferraz, F
机构
[1] Hosp Pro Cardiaco, Serv Neurocirurgia, Rio De Janeiro, Brazil
[2] Estereolife Neurocirurgia Func & Estereotax, Rio De Janeiro, Brazil
[3] Univ Estacio Sa, Inst Sono, Inst Neurol Estacio Sa, Rio De Janeiro, RJ, Brazil
[4] Univ Fed Sao Paulo, Escola Paulista Med, Sao Paulo, SP, Brazil
关键词
deep brain stimulation; VIM; essential tremor; Parkinson disease;
D O I
10.1590/S0004-282X2002000300017
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Purpose: We present our results in 4 patients with tremor, in whom electrodes (uni and bilateral) for Deep Brain Stimulation (DBS) were implanted in the ventral intermediate nucleus (VIM) of the thalamus, Method: Four patients with disabling tremor, with drug-resistant spite of optimum therapeutic trials with poor response were referred to do surgery. Two patients had bilateral essential tremor. These patients were implanted with electrodes for DBS 3387 (Mectronic). Two patients had unilateral parkinsonian tremor and they received unilateral implantation of model 3387 DBS. Results: All four patients showed relieve of the tremor symptoms with significant tremor control seen at the scores. There were no definite adverse events after the electrodes implants for DBS; adverse events were transient and promptly reversed after the adjustment of the parameters. Conclusions: The results the authors found in this study indicate that VIM-stimulation is effective for tremor control either parkinsonian or essential tremor. The results correlate with the data in the literature.
引用
收藏
页码:429 / 434
页数:6
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