Deep brain stimulation for trauma: Patient selection and evaluation
Identifieur interne : 000004 ( Istex/Corpus ); précédent : 000003; suivant : 000005Deep brain stimulation for trauma: Patient selection and evaluation
Auteurs : Günther Deuschl ; Peter BainSource :
- Movement Disorders [ 0885-3185 ] ; 2002-03.
English descriptors
- KwdEn :
Abstract
The selection of patients with movement disorders for deep brain stimulation is becoming a common neurological and neurosurgical task. Deep brain stimulation is suitable for different forms of tremor, which can often not be treated with medication. This suitability applies for essential tremor, monosymptomatic tremor at rest, cerebellar or multiple sclerosis tremor, Holmes' tremor, primary writing tremor or tremor in neuropathies. The appropriate selection of patients is critical for the outcome of surgical relief of tremors. Considering the risks of any stereotactic intervention, the following must apply: (1) motor symptoms lead to a relevant disability in activities of daily living, despite optimal medical treatment; (2) biological age of the patient; (3) neurosurgical contraindications; (4) the patient is neither demented nor severely depressed. If these conditions are fulfilled, the individual chances of improvement of the target symptoms need to be checked, based on the following guidelines: (1) the kind of tremor, (2) the natural course of the tremor, (3) the chances for medical treatment in a particular patient, (4) the outcome of surgery in a specific condition, (5) the individual risks for a patient to suffer from complications. The outcome of surgery for tremor depends on the clinical type and distribution. Distal limb tremors are easier to treat than proximal limb tremors. Intention tremor is more difficult to treat than rest or postural tremor. The indication for surgical treatment depends on the analysis of the individual risk–benefit ratio, which also has to take into account the patients' social, professional, and familial background. The patient needs to be well informed about his individual risk–benefit ratio and of alternative treatments, before undergoing stereotactic surgery. © 2002 Movement Disorder Society
Url:
DOI: 10.1002/mds.10150
Links to Exploration step
ISTEX:8C405D2B8BDBE8A976896B9FA31C38A5FE11484FLe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Deep brain stimulation for trauma: Patient selection and evaluation</title><author><name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Günther" last="Deuschl">Günther Deuschl</name><affiliation><mods:affiliation>Department of Neurology, Christian‐Albrechts‐University Kiel, Germany</mods:affiliation></affiliation></author><author><name sortKey="Bain, Peter" sort="Bain, Peter" uniqKey="Bain P" first="Peter" last="Bain">Peter Bain</name><affiliation><mods:affiliation>Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Charing Cross Campus, London, United Kingdom</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:8C405D2B8BDBE8A976896B9FA31C38A5FE11484F</idno><date when="2002" year="2002">2002</date><idno type="doi">10.1002/mds.10150</idno><idno type="url">https://api.istex.fr/document/8C405D2B8BDBE8A976896B9FA31C38A5FE11484F/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000004</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Deep brain stimulation for trauma: Patient selection and evaluation</title><author><name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Günther" last="Deuschl">Günther Deuschl</name><affiliation><mods:affiliation>Department of Neurology, Christian‐Albrechts‐University Kiel, Germany</mods:affiliation></affiliation></author><author><name sortKey="Bain, Peter" sort="Bain, Peter" uniqKey="Bain P" first="Peter" last="Bain">Peter Bain</name><affiliation><mods:affiliation>Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Charing Cross Campus, London, United Kingdom</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>New York</pubPlace><date type="published" when="2002-03">2002-03</date><biblScope unit="vol">17</biblScope><biblScope unit="issue">S3</biblScope><biblScope unit="supplement">3</biblScope><biblScope unit="page" from="S102">S102</biblScope><biblScope unit="page" to="S111">S111</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">8C405D2B8BDBE8A976896B9FA31C38A5FE11484F</idno><idno type="DOI">10.1002/mds.10150</idno><idno type="ArticleID">MDS10150</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Holmes</term><term>Parkinsonian</term><term>cerebellar</term><term>deep brain stimulation</term><term>essential</term><term>neuropathic</term><term>thalamotomy</term><term>tremor</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The selection of patients with movement disorders for deep brain stimulation is becoming a common neurological and neurosurgical task. Deep brain stimulation is suitable for different forms of tremor, which can often not be treated with medication. This suitability applies for essential tremor, monosymptomatic tremor at rest, cerebellar or multiple sclerosis tremor, Holmes' tremor, primary writing tremor or tremor in neuropathies. The appropriate selection of patients is critical for the outcome of surgical relief of tremors. Considering the risks of any stereotactic intervention, the following must apply: (1) motor symptoms lead to a relevant disability in activities of daily living, despite optimal medical treatment; (2) biological age of the patient; (3) neurosurgical contraindications; (4) the patient is neither demented nor severely depressed. If these conditions are fulfilled, the individual chances of improvement of the target symptoms need to be checked, based on the following guidelines: (1) the kind of tremor, (2) the natural course of the tremor, (3) the chances for medical treatment in a particular patient, (4) the outcome of surgery in a specific condition, (5) the individual risks for a patient to suffer from complications. The outcome of surgery for tremor depends on the clinical type and distribution. Distal limb tremors are easier to treat than proximal limb tremors. Intention tremor is more difficult to treat than rest or postural tremor. The indication for surgical treatment depends on the analysis of the individual risk–benefit ratio, which also has to take into account the patients' social, professional, and familial background. The patient needs to be well informed about his individual risk–benefit ratio and of alternative treatments, before undergoing stereotactic surgery. © 2002 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Günther Deuschl MD</name><affiliations><json:string>Department of Neurology, Christian‐Albrechts‐University Kiel, Germany</json:string></affiliations></json:item><json:item><name>Peter Bain MD</name><affiliations><json:string>Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Charing Cross Campus, London, United Kingdom</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>deep brain stimulation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>thalamotomy</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>tremor</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>essential</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Parkinsonian</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Holmes</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>cerebellar</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>neuropathic</value></json:item></subject><language><json:string>eng</json:string></language><abstract>The selection of patients with movement disorders for deep brain stimulation is becoming a common neurological and neurosurgical task. Deep brain stimulation is suitable for different forms of tremor, which can often not be treated with medication. This suitability applies for essential tremor, monosymptomatic tremor at rest, cerebellar or multiple sclerosis tremor, Holmes' tremor, primary writing tremor or tremor in neuropathies. The appropriate selection of patients is critical for the outcome of surgical relief of tremors. Considering the risks of any stereotactic intervention, the following must apply: (1) motor symptoms lead to a relevant disability in activities of daily living, despite optimal medical treatment; (2) biological age of the patient; (3) neurosurgical contraindications; (4) the patient is neither demented nor severely depressed. If these conditions are fulfilled, the individual chances of improvement of the target symptoms need to be checked, based on the following guidelines: (1) the kind of tremor, (2) the natural course of the tremor, (3) the chances for medical treatment in a particular patient, (4) the outcome of surgery in a specific condition, (5) the individual risks for a patient to suffer from complications. The outcome of surgery for tremor depends on the clinical type and distribution. Distal limb tremors are easier to treat than proximal limb tremors. Intention tremor is more difficult to treat than rest or postural tremor. The indication for surgical treatment depends on the analysis of the individual risk–benefit ratio, which also has to take into account the patients' social, professional, and familial background. The patient needs to be well informed about his individual risk–benefit ratio and of alternative treatments, before undergoing stereotactic surgery. © 2002 Movement Disorder Society</abstract><qualityIndicators><score>8.5</score><pdfVersion>1.4</pdfVersion><pdfPageSize>612 x 792 pts (letter)</pdfPageSize><refBibsNative>true</refBibsNative><abstractCharCount>1859</abstractCharCount><pdfWordCount>6470</pdfWordCount><pdfCharCount>42597</pdfCharCount><pdfPageCount>10</pdfPageCount><abstractWordCount>276</abstractWordCount></qualityIndicators><title>Deep brain stimulation for trauma: Patient selection and evaluation</title><genre><json:string>Serial article</json:string></genre><host><volume>17</volume><pages><total>10</total><last>S111</last><first>S102</first></pages><issn><json:string>0885-3185</json:string></issn><issue>S3</issue><genre></genre><language><json:string>unknown</json:string></language><title>Movement Disorders</title><doi><json:string>10.1002/(ISSN)1531-8257</json:string></doi></host><publicationDate>2002</publicationDate><copyrightDate>2002</copyrightDate><doi><json:string>10.1002/mds.10150</json:string></doi><id>8C405D2B8BDBE8A976896B9FA31C38A5FE11484F</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/8C405D2B8BDBE8A976896B9FA31C38A5FE11484F/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/8C405D2B8BDBE8A976896B9FA31C38A5FE11484F/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/8C405D2B8BDBE8A976896B9FA31C38A5FE11484F/fulltext/tei"><teiHeader type="text"><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Deep brain stimulation for trauma: Patient selection and evaluation</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>New York</pubPlace><availability><p>Wiley Subscription Services, Inc., A Wiley Company</p></availability><date>2002</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Deep brain stimulation for trauma: Patient selection and evaluation</title><author><persName><forename type="first">Günther</forename><surname>Deuschl</surname><roleName type="degree">MD</roleName></persName><note type="correspondence"><p>Correspondence: Department of Neurology, University of Kiel, Niemannsweg 147, 24105 Kiel, Germany</p></note><affiliation>Department of Neurology, Christian‐Albrechts‐University Kiel, Germany</affiliation></author><author><persName><forename type="first">Peter</forename><surname>Bain</surname><roleName type="degree">MD</roleName></persName><affiliation>Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Charing Cross Campus, London, United Kingdom</affiliation></author></analytic><monogr><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="pISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><idno type="DOI">10.1002/(ISSN)1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>New York</pubPlace><date type="published" when="2002-03"></date><biblScope unit="vol">17</biblScope><biblScope unit="issue">S3</biblScope><biblScope unit="supplement">3</biblScope><biblScope unit="page" from="S102">S102</biblScope><biblScope unit="page" to="S111">S111</biblScope></imprint></monogr><idno type="istex">8C405D2B8BDBE8A976896B9FA31C38A5FE11484F</idno><idno type="DOI">10.1002/mds.10150</idno><idno type="ArticleID">MDS10150</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2002</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>The selection of patients with movement disorders for deep brain stimulation is becoming a common neurological and neurosurgical task. Deep brain stimulation is suitable for different forms of tremor, which can often not be treated with medication. This suitability applies for essential tremor, monosymptomatic tremor at rest, cerebellar or multiple sclerosis tremor, Holmes' tremor, primary writing tremor or tremor in neuropathies. The appropriate selection of patients is critical for the outcome of surgical relief of tremors. Considering the risks of any stereotactic intervention, the following must apply: (1) motor symptoms lead to a relevant disability in activities of daily living, despite optimal medical treatment; (2) biological age of the patient; (3) neurosurgical contraindications; (4) the patient is neither demented nor severely depressed. If these conditions are fulfilled, the individual chances of improvement of the target symptoms need to be checked, based on the following guidelines: (1) the kind of tremor, (2) the natural course of the tremor, (3) the chances for medical treatment in a particular patient, (4) the outcome of surgery in a specific condition, (5) the individual risks for a patient to suffer from complications. The outcome of surgery for tremor depends on the clinical type and distribution. Distal limb tremors are easier to treat than proximal limb tremors. Intention tremor is more difficult to treat than rest or postural tremor. The indication for surgical treatment depends on the analysis of the individual risk–benefit ratio, which also has to take into account the patients' social, professional, and familial background. The patient needs to be well informed about his individual risk–benefit ratio and of alternative treatments, before undergoing stereotactic surgery. © 2002 Movement Disorder Society</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>deep brain stimulation</term></item><item><term>thalamotomy</term></item><item><term>tremor</term></item><item><term>essential</term></item><item><term>Parkinsonian</term></item><item><term>Holmes</term></item><item><term>cerebellar</term></item><item><term>neuropathic</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2002-03">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/8C405D2B8BDBE8A976896B9FA31C38A5FE11484F/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>New York</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="subtitle">Official Journal of the Movement Disorder Society</title><title type="short">Mov. Disord.</title></titleGroup></publicationMeta><publicationMeta level="part" position="35"><doi origin="wiley" registered="yes">10.1002/mds.v17:3+</doi><titleGroup><title type="supplementTitle">Deep Brain Stimulation for Movement Disorders</title></titleGroup><numberingGroup><numbering type="journalVolume" number="17">17</numbering><numbering type="journalIssue">S3</numbering><numbering type="supplement" number="3">3</numbering></numberingGroup><coverDate startDate="2002-03">March/April 2002</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="16" status="forIssue"><doi origin="wiley" registered="yes">10.1002/mds.10150</doi><idGroup><id type="unit" value="MDS10150"></id></idGroup><countGroup><count type="pageTotal" number="10"></count></countGroup><copyright ownership="thirdParty">Copyright © 2002 Movement Disorders Society</copyright><eventGroup><event type="firstOnline" date="2002-03-28"></event><event type="publishedOnlineFinalForm" date="2002-03-28"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-09"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-02"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-11-01"></event></eventGroup><numberingGroup><numbering type="pageFirst">S102</numbering><numbering type="pageLast">S111</numbering></numberingGroup><correspondenceTo>Department of Neurology, University of Kiel, Niemannsweg 147, 24105 Kiel, Germany</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:MDS.MDS10150.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="6"></count><count type="referenceTotal" number="93"></count><count type="wordTotal" number="6343"></count></countGroup><titleGroup><title type="main" xml:lang="en">Deep brain stimulation for trauma: Patient selection and evaluation</title><title type="short" xml:lang="en">Patient Selection and Assessment: Tremor</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Günther</givenNames><familyName>Deuschl</familyName><degrees>MD</degrees></personName><contactDetails><email normalForm="g.deuschl@neurologie.uni-kiel.de">g.deuschl@neurologie.uni‐kiel.de</email></contactDetails></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Peter</givenNames><familyName>Bain</familyName><degrees>MD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="DE" type="organization"><unparsedAffiliation>Department of Neurology, Christian‐Albrechts‐University Kiel, Germany</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="GB" type="organization"><unparsedAffiliation>Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Charing Cross Campus, London, United Kingdom</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">deep brain stimulation</keyword><keyword xml:id="kwd2">thalamotomy</keyword><keyword xml:id="kwd3">tremor</keyword><keyword xml:id="kwd4">essential</keyword><keyword xml:id="kwd5">Parkinsonian</keyword><keyword xml:id="kwd6">Holmes</keyword><keyword xml:id="kwd7">cerebellar</keyword><keyword xml:id="kwd8">neuropathic</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>The selection of patients with movement disorders for deep brain stimulation is becoming a common neurological and neurosurgical task. Deep brain stimulation is suitable for different forms of tremor, which can often not be treated with medication. This suitability applies for essential tremor, monosymptomatic tremor at rest, cerebellar or multiple sclerosis tremor, Holmes' tremor, primary writing tremor or tremor in neuropathies. The appropriate selection of patients is critical for the outcome of surgical relief of tremors. Considering the risks of any stereotactic intervention, the following must apply: (1) motor symptoms lead to a relevant disability in activities of daily living, despite optimal medical treatment; (2) biological age of the patient; (3) neurosurgical contraindications; (4) the patient is neither demented nor severely depressed. If these conditions are fulfilled, the individual chances of improvement of the target symptoms need to be checked, based on the following guidelines: (1) the kind of tremor, (2) the natural course of the tremor, (3) the chances for medical treatment in a particular patient, (4) the outcome of surgery in a specific condition, (5) the individual risks for a patient to suffer from complications. The outcome of surgery for tremor depends on the clinical type and distribution. Distal limb tremors are easier to treat than proximal limb tremors. Intention tremor is more difficult to treat than rest or postural tremor. The indication for surgical treatment depends on the analysis of the individual risk–benefit ratio, which also has to take into account the patients' social, professional, and familial background. The patient needs to be well informed about his individual risk–benefit ratio and of alternative treatments, before undergoing stereotactic surgery. © 2002 Movement Disorder Society</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 3-12-2015--><mods version="3.6"><titleInfo lang="en"><title>Deep brain stimulation for trauma: Patient selection and evaluation</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Patient Selection and Assessment: Tremor</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Deep brain stimulation for trauma: Patient selection and evaluation</title></titleInfo><name type="personal"><namePart type="given">Günther</namePart><namePart type="family">Deuschl</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, Christian‐Albrechts‐University Kiel, Germany</affiliation><description>Correspondence: Department of Neurology, University of Kiel, Niemannsweg 147, 24105 Kiel, Germany</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Peter</namePart><namePart type="family">Bain</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Charing Cross Campus, London, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">New York</placeTerm></place><dateIssued encoding="w3cdtf">2002-03</dateIssued><copyrightDate encoding="w3cdtf">2002</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">6</extent><extent unit="references">93</extent><extent unit="words">6343</extent></physicalDescription><abstract lang="en">The selection of patients with movement disorders for deep brain stimulation is becoming a common neurological and neurosurgical task. Deep brain stimulation is suitable for different forms of tremor, which can often not be treated with medication. This suitability applies for essential tremor, monosymptomatic tremor at rest, cerebellar or multiple sclerosis tremor, Holmes' tremor, primary writing tremor or tremor in neuropathies. The appropriate selection of patients is critical for the outcome of surgical relief of tremors. Considering the risks of any stereotactic intervention, the following must apply: (1) motor symptoms lead to a relevant disability in activities of daily living, despite optimal medical treatment; (2) biological age of the patient; (3) neurosurgical contraindications; (4) the patient is neither demented nor severely depressed. If these conditions are fulfilled, the individual chances of improvement of the target symptoms need to be checked, based on the following guidelines: (1) the kind of tremor, (2) the natural course of the tremor, (3) the chances for medical treatment in a particular patient, (4) the outcome of surgery in a specific condition, (5) the individual risks for a patient to suffer from complications. The outcome of surgery for tremor depends on the clinical type and distribution. Distal limb tremors are easier to treat than proximal limb tremors. Intention tremor is more difficult to treat than rest or postural tremor. The indication for surgical treatment depends on the analysis of the individual risk–benefit ratio, which also has to take into account the patients' social, professional, and familial background. The patient needs to be well informed about his individual risk–benefit ratio and of alternative treatments, before undergoing stereotactic surgery. © 2002 Movement Disorder Society</abstract><subject lang="en"><genre>Keywords</genre><topic>deep brain stimulation</topic><topic>thalamotomy</topic><topic>tremor</topic><topic>essential</topic><topic>Parkinsonian</topic><topic>Holmes</topic><topic>cerebellar</topic><topic>neuropathic</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2002</date><detail type="volume"><caption>vol.</caption><number>17</number></detail><detail type="issue"><caption>no.</caption><number>S3</number></detail><detail type="supplement"><caption>Suppl. no.</caption><number>3</number></detail><extent unit="pages"><start>S102</start><end>S111</end><total>10</total></extent></part></relatedItem><identifier type="istex">8C405D2B8BDBE8A976896B9FA31C38A5FE11484F</identifier><identifier type="DOI">10.1002/mds.10150</identifier><identifier type="ArticleID">MDS10150</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2002 Movement Disorders Society</accessCondition><recordInfo><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin><recordContentSource>WILEY</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/Istex/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000004 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Corpus/biblio.hfd -nk 000004 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= MovDisordV3
|flux= Istex
|étape= Corpus
|type= RBID
|clé= ISTEX:8C405D2B8BDBE8A976896B9FA31C38A5FE11484F
|texte= Deep brain stimulation for trauma: Patient selection and evaluation
}}
| This area was generated with Dilib version V0.6.23. |  |