Document Detail


Should we consider Vim thalamic deep brain stimulation for select cases of severe refractory dystonic tremor.
MedLine Citation:
PMID:  20197711     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dystonic tremor, which may present with many different clinical presentations (rhythmic oscillations, abnormal posture, pain, and/or a null point) has proven to be a challenge for the clinician to effectively treat. Although recent studies have demonstrated excellent outcomes in select cases following deep brain stimulation (DBS) of the internal globus pallidus, the optimal target for dystonia and particularly for dystonic tremor remains unknown. We report 3 cases of dystonic tremor which were successfully addressed through the use of ventral intermediate nucleus (Vim) DBS. We also review the literature concerning the efficacy of Vim DBS for addressing dystonia. This case series illustrates the potential use of Vim DBS for select cases of dystonic tremor.
Authors:
Takashi Morishita; Kelly D Foote; Ihtsham U Haq; Pamela Zeilman; Charles E Jacobson; Michael S Okun
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2010-02-27
Journal Detail:
Title:  Stereotactic and functional neurosurgery     Volume:  88     ISSN:  1423-0372     ISO Abbreviation:  Stereotact Funct Neurosurg     Publication Date:  2010  
Date Detail:
Created Date:  2010-03-12     Completed Date:  2010-10-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8902881     Medline TA:  Stereotact Funct Neurosurg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  98-104     Citation Subset:  IM    
Copyright Information:
(c) 2010 S. Karger AG, Basel.
Affiliation:
Department of Neurology, University of Florida College of Medicine/Shands Hospital, Movement Disorders Center, McKnight Brain Institute, Gainesville, FL 32610, USA. takashi.morishita@neurology.ufl.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Databases, Factual
Deep Brain Stimulation* / methods
Dystonic Disorders / physiopathology,  therapy*
Female
Humans
Male
Middle Aged
Severity of Illness Index*
Tremor / physiopathology,  therapy*
Ventral Thalamic Nuclei / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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