Focused ultrasound thalamotomy for multiple sclerosis-associated tremor

被引:17
作者
Manez-Miro, Jorge U. [1 ]
Martinez-Fernandez, Raul [1 ]
del Alamo, Marta [1 ]
Pineda-Pardo, Jose A. [1 ]
Fernandez-Rodriguez, Beatriz [1 ]
Alonso-Frech, Fernando [1 ]
Carlos Alvarez-Cermeno, Jose [2 ,3 ]
Obeso, Jose A. [1 ,4 ]
机构
[1] CEU San Pablo Univ, Univ Hosp HM Puerta del Sur, Ctr Integral Neurociencias CINAC, Av Carlos 5 70, Mostoles 28939, Spain
[2] Hosp Univ Ramon y Cajal, IRYCIS, Dept Neurol, REEM, Madrid, Spain
[3] Univ Alcala de Henares, Dept Med, Madrid, Spain
[4] Carlos III Inst, Network Ctr Biomed Res Neurodegenerat Dis, Madrid, Spain
关键词
Tremor; focused ultrasound; multiple sclerosis; thalamotomy; STIMULATION; EFFICACY; SAFETY;
D O I
10.1177/1352458519861597
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Multiple sclerosis (MS)-related tremor is frequent and can often be refractory to medical treatment, which makes it a potential source of major disability. Functional neurosurgery approaches such as thalamic deep brain stimulation (DBS) or radiofrequency thalamotomy are proven to be effective, but the application of invasive techniques in MS tremor has so far been limited. Magnetic resonance (MR)-guided focused ultrasound thalamotomy, which has already been approved for treating essential and parkinsonian tremor, provides a minimally invasive approach that could be useful in the management of MS tremor. We report for the first time a patient with medically refractory MS-associated tremor successfully treated by focused ultrasound thalamotomy.
引用
收藏
页码:855 / 858
页数:4
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