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On‐demand deep brain stimulation for essential tremor: A report on four cases

Identifieur interne : 003303 ( Main/Exploration ); précédent : 003302; suivant : 003304

On‐demand deep brain stimulation for essential tremor: A report on four cases

Auteurs : Martin Kronenbuerger [Allemagne] ; Christoph Fromm [Allemagne] ; Frank Block [Allemagne] ; Volker A. Coenen [Allemagne] ; Ina Rohde [Allemagne] ; Veit Rohde [Allemagne] ; Johannes Noth [Allemagne]

Source :

Movement Disorders [ 0885-3185 ] ; 2006-03.

RBID : ISTEX:970A7EDD49A966605DB6C17B9E93D6E8CF6B2545

Descripteurs français

Pascal (Inist)
- Etude cas, Stimulation cérébrale profonde, Système nerveux pathologie, Thalamus, Tremblement.

English descriptors

KwdEn :
- Adult, Aged, Aged, 80 and over, Case study, Deep Brain Stimulation (methods), Deep brain stimulation, Essential Tremor (therapy), Female, Humans, Male, Middle Aged, Nervous system diseases, Questionnaires, Thalamus, Thalamus (pathology), Tremor, deep brain stimulation, essential tremor, on‐demand use, thalamus.
MESH :
- methods : Deep Brain Stimulation.
- pathology : Thalamus.
- therapy : Essential Tremor.
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Questionnaires.

Abstract

Deep brain stimulation (DBS) is an established therapy for essential tremor (ET), but loss of efficacy due to tolerance can occur. Our objective was to evaluate if it is feasible to use DBS only on‐demand and if this would prevent tolerance. We report on the effects of left‐side thalamic DBS in 4 ET patients who were instructed to switch on stimulation only when using their right hand for motor tasks and were followed‐up to 30 months after surgery. The patients were capable of using DBS only on‐demand (DBS use of 22.0 ± 13.5%/day). DBS led to a stable suppression of right arm tremor throughout the follow‐up. No problems associated with tolerance such as tremor rebound or late therapy failure occurred. In comparison to publications stating that ET patients had been using DBS continuously during the daytime, the use of on‐demand DBS saves battery life, which delays surgical replacement of the stimulator. Thus, on‐demand DBS saves money, may help to prevent tolerance, and should be adopted for the long‐term treatment of ET patients. © 2005 Movement Disorder Society

Url:

https://api.istex.fr/document/970A7EDD49A966605DB6C17B9E93D6E8CF6B2545/fulltext/pdf

DOI: 10.1002/mds.20714

Affiliations:

Allemagne

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<term>Deep brain stimulation</term>
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<front><div type="abstract" xml:lang="en">Deep brain stimulation (DBS) is an established therapy for essential tremor (ET), but loss of efficacy due to tolerance can occur. Our objective was to evaluate if it is feasible to use DBS only on‐demand and if this would prevent tolerance. We report on the effects of left‐side thalamic DBS in 4 ET patients who were instructed to switch on stimulation only when using their right hand for motor tasks and were followed‐up to 30 months after surgery. The patients were capable of using DBS only on‐demand (DBS use of 22.0 ± 13.5%/day). DBS led to a stable suppression of right arm tremor throughout the follow‐up. No problems associated with tolerance such as tremor rebound or late therapy failure occurred. In comparison to publications stating that ET patients had been using DBS continuously during the daytime, the use of on‐demand DBS saves battery life, which delays surgical replacement of the stimulator. Thus, on‐demand DBS saves money, may help to prevent tolerance, and should be adopted for the long‐term treatment of ET patients. © 2005 Movement Disorder Society</div>
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Movement Disorders (revue)

On‐demand deep brain stimulation for essential tremor: A report on four cases

On‐demand deep brain stimulation for essential tremor: A report on four cases

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
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