Effect of stimulation frequency on tremor suppression in essential tremor
Identifieur interne : 003D29 ( Main/Exploration ); précédent : 003D28; suivant : 003D30Effect of stimulation frequency on tremor suppression in essential tremor
Auteurs : Mwiza Ushe [États-Unis] ; Jonathan W. Mink [États-Unis] ; Fredy J. Revilla [États-Unis] ; Angie Wernle [États-Unis] ; Patricia Schneider Gibson [États-Unis] ; Lori Mcgee-Minnich [États-Unis] ; Minna Hong [États-Unis] ; Keith M. Rich [États-Unis] ; Kelly E. Lyons [États-Unis] ; Rajesh Pahwa [États-Unis] ; Joel S. Perlmutter [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2004-10.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adult, Aged, Deep Brain Stimulation (instrumentation), Essential Tremor (therapy), Female, Humans, Male, Middle Aged, Motor control, Nervous system diseases, PET, Positron-Emission Tomography, Suppression, Tremor, Ventral Thalamic Nuclei (blood supply), Ventral Thalamic Nuclei (physiology), deep brain stimulation, kinematics, tremor.
- MESH :
- blood supply : Ventral Thalamic Nuclei.
- instrumentation : Deep Brain Stimulation.
- physiology : Ventral Thalamic Nuclei.
- therapy : Essential Tremor.
- Adult, Aged, Female, Humans, Male, Middle Aged, Positron-Emission Tomography.
Abstract
We sought to determine the effect of deep brain stimulation (DBS) frequency on tremor suppression in essential tremor (ET) patients with deep brain stimulators implanted in the ventral intermediate nucleus (VIM) of the thalamus. A uniaxial accelerometer was used to measure tremor in the right upper extremity of subjects with a diagnosis of ET who had DBS electrodes implanted in the left VIM. The root‐mean‐square acceleration was used as the index of tremor magnitude and normalized to the OFF DBS condition. There was a highly significant inverse sigmoidal relationship between stimulation frequency and normalized tremor acceleration (X2/DoF = 0.42, r2 = 0.997). Tremor acceleration had a nearly linear response to stimulation frequencies between 45 and 100 Hz with little additional benefit above 100 Hz. These findings have two important implications. Clinically, frequency of thalamic stimulation is an important variable for optimal tremor control with maximal benefit achieved with 100 to 130 Hz in most patients. Second, thalamic DBS provides tremor benefit in a graded manner and is not an all‐or‐nothing phenomenon. © 2004 Movement Disorder Society
Url:
DOI: 10.1002/mds.20231
Affiliations:
- États-Unis
- Kansas, Missouri (État), État de New York
- Saint-Louis (Missouri)
- Université Washington de Saint-Louis
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Le document en format XML
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<term>Deep Brain Stimulation (instrumentation)</term>
<term>Essential Tremor (therapy)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Motor control</term>
<term>Nervous system diseases</term>
<term>PET</term>
<term>Positron-Emission Tomography</term>
<term>Suppression</term>
<term>Tremor</term>
<term>Ventral Thalamic Nuclei (blood supply)</term>
<term>Ventral Thalamic Nuclei (physiology)</term>
<term>deep brain stimulation</term>
<term>kinematics</term>
<term>tremor</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Ventral Thalamic Nuclei</term>
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<front><div type="abstract" xml:lang="fr">We sought to determine the effect of deep brain stimulation (DBS) frequency on tremor suppression in essential tremor (ET) patients with deep brain stimulators implanted in the ventral intermediate nucleus (VIM) of the thalamus. A uniaxial accelerometer was used to measure tremor in the right upper extremity of subjects with a diagnosis of ET who had DBS electrodes implanted in the left VIM. The root‐mean‐square acceleration was used as the index of tremor magnitude and normalized to the OFF DBS condition. There was a highly significant inverse sigmoidal relationship between stimulation frequency and normalized tremor acceleration (X2/DoF = 0.42, r2 = 0.997). Tremor acceleration had a nearly linear response to stimulation frequencies between 45 and 100 Hz with little additional benefit above 100 Hz. These findings have two important implications. Clinically, frequency of thalamic stimulation is an important variable for optimal tremor control with maximal benefit achieved with 100 to 130 Hz in most patients. Second, thalamic DBS provides tremor benefit in a graded manner and is not an all‐or‐nothing phenomenon. © 2004 Movement Disorder Society</div>
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<name sortKey="Schneider Gibson, Patricia" sort="Schneider Gibson, Patricia" uniqKey="Schneider Gibson P" first="Patricia" last="Schneider Gibson">Patricia Schneider Gibson</name>
<name sortKey="Ushe, Mwiza" sort="Ushe, Mwiza" uniqKey="Ushe M" first="Mwiza" last="Ushe">Mwiza Ushe</name>
<name sortKey="Wernle, Angie" sort="Wernle, Angie" uniqKey="Wernle A" first="Angie" last="Wernle">Angie Wernle</name>
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