Tremor induced by thalamic deep brain stimulation in patients with complex regional facial pain
Identifieur interne : 003A99 ( Main/Exploration ); précédent : 003A98; suivant : 003B00Tremor induced by thalamic deep brain stimulation in patients with complex regional facial pain
Auteurs : Constantine Constantoyannis [Canada] ; Ajit Kumar [Canada] ; A. Jon Stoessl [Canada] ; Christopher R. Honey [Canada]Source :
- Movement Disorders [ 0885-3185 ] ; 2004-08.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Deep Brain Stimulation (adverse effects), Deep Brain Stimulation (methods), Deep brain stimulation, Dose-Response Relationship, Radiation, Facial Pain (therapy), Female, Human, Humans, Male, Middle Aged, Motor control, Nervous system diseases, Neuralgia, Pain, Thalamus (physiology), Thalamus (radiation effects), Tremor, Tremor (etiology), Trigeminal nerve, deep brain stimulation (DBS), pain, thalamus, tremor.
- MESH :
- adverse effects : Deep Brain Stimulation.
- etiology : Tremor.
- methods : Deep Brain Stimulation.
- physiology : Thalamus.
- radiation effects : Thalamus.
- therapy : Facial Pain.
- Adult, Dose-Response Relationship, Radiation, Female, Humans, Male, Middle Aged.
Abstract
We report on two patients who developed a new postural and action tremor after chronic stimulation of the contralateral thalamus (VPM nucleus) during treatment of a complex regional facial pain syndrome. The tremor was only present during deep brain stimulation (DBS) and was suppressed with adjustment of the stimulation parameters. Tremor was seen only with low frequency stimulation (50 Hz or lower) and disappeared with higher stimulation frequencies. In addition to being an unusual side effect of thalamic DBS, we believe that this phenomenon affords insight into one possible mechanism underlying essential tremor (ET). A central oscillatory mechanism involving the olivocerebellar complex and the thalamus, which is a part of the cerebro–cerebello–cerebral circuit, is thought to play an important role in the genesis of ET. Induction of a tremor resembling ET in our patients indicates an active role for low frequency stimulation. A plausible explanation for this is that low frequency stimulation in the thalamic area enhances the output of the tremor‐producing network. This leads credence to the concept of central oscillations in a “tremor circuit,” of which the thalamus is a part, as being important in ET. © 2004 Movement Disorder Society
Url:
DOI: 10.1002/mds.20047
Affiliations:
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Le document en format XML
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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>Hoboken</pubPlace><date type="published" when="2004-08">2004-08</date><biblScope unit="vol">19</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="933">933</biblScope><biblScope unit="page" to="936">936</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">31C6D4407F77A686B0055EC7DFBC1A5D98AE91F6</idno><idno type="DOI">10.1002/mds.20047</idno><idno type="ArticleID">MDS20047</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Deep Brain Stimulation (adverse effects)</term><term>Deep Brain Stimulation (methods)</term><term>Deep brain stimulation</term><term>Dose-Response Relationship, Radiation</term><term>Facial Pain (therapy)</term><term>Female</term><term>Human</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Motor control</term><term>Nervous system diseases</term><term>Neuralgia</term><term>Pain</term><term>Thalamus (physiology)</term><term>Thalamus (radiation effects)</term><term>Tremor</term><term>Tremor (etiology)</term><term>Trigeminal nerve</term><term>deep brain stimulation (DBS)</term><term>pain</term><term>thalamus</term><term>tremor</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Tremor</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Thalamus</term></keywords><keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Thalamus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Facial Pain</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Dose-Response Relationship, Radiation</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Contrôle moteur</term><term>Douleur</term><term>Homme</term><term>Nerf trijumeau</term><term>Névralgie</term><term>Stimulation cérébrale profonde</term><term>Système nerveux pathologie</term><term>Tremblement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="fr">We report on two patients who developed a new postural and action tremor after chronic stimulation of the contralateral thalamus (VPM nucleus) during treatment of a complex regional facial pain syndrome. The tremor was only present during deep brain stimulation (DBS) and was suppressed with adjustment of the stimulation parameters. Tremor was seen only with low frequency stimulation (50 Hz or lower) and disappeared with higher stimulation frequencies. In addition to being an unusual side effect of thalamic DBS, we believe that this phenomenon affords insight into one possible mechanism underlying essential tremor (ET). A central oscillatory mechanism involving the olivocerebellar complex and the thalamus, which is a part of the cerebro–cerebello–cerebral circuit, is thought to play an important role in the genesis of ET. Induction of a tremor resembling ET in our patients indicates an active role for low frequency stimulation. A plausible explanation for this is that low frequency stimulation in the thalamic area enhances the output of the tremor‐producing network. This leads credence to the concept of central oscillations in a “tremor circuit,” of which the thalamus is a part, as being important in ET. © 2004 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Canada</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Constantoyannis, Constantine" sort="Constantoyannis, Constantine" uniqKey="Constantoyannis C" first="Constantine" last="Constantoyannis">Constantine Constantoyannis</name></noRegion><name sortKey="Honey, Christopher R" sort="Honey, Christopher R" uniqKey="Honey C" first="Christopher R." last="Honey">Christopher R. Honey</name><name sortKey="Kumar, Ajit" sort="Kumar, Ajit" uniqKey="Kumar A" first="Ajit" last="Kumar">Ajit Kumar</name><name sortKey="Stoessl, A Jon" sort="Stoessl, A Jon" uniqKey="Stoessl A" first="A. Jon" last="Stoessl">A. Jon Stoessl</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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