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

Identifieur interne : 004A86 ( Main/Merge ); précédent : 004A85; suivant : 004A87

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.

RBID : Pascal:06-0208451

Descripteurs français

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

English descriptors

KwdEn :
- Case study, Deep brain stimulation, Nervous system diseases, Thalamus, Tremor.

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.

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Le document en format XML

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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.</div>
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	Movement Disorders (revue)
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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...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

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