Stereotactic neurosurgery for tremor.
Identifieur interne : 006119 ( Main/Merge ); précédent : 006118; suivant : 006120Stereotactic neurosurgery for tremor.
Auteurs : Johannes D. Speelman [Pays-Bas] ; Richard Schuurman ; Rob M A. De Bie ; Rianne A J. Esselink ; D Andries BoschSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2002.
English descriptors
- KwdEn :
- MESH :
Abstract
The role of the motor thalamus as surgical target in stereotactic neurosurgery for different kinds of tremor is discussed. For tremor in Parkinson's disease, the subthalamic nucleus becomes more and more often the surgical target, because this target also gives relief of other and more incapacitating symptoms (hypokinesia, rigidity). Stimulation is as effective in tremor suppression as coagulation but has less adverse events and permits bilateral surgery. In selected cases, thalamotomy can still be indicated.
PubMed: 11948760
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pubmed:11948760Le document en format XML
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<author><name sortKey="Speelman, Johannes D" sort="Speelman, Johannes D" uniqKey="Speelman J" first="Johannes D" last="Speelman">Johannes D. Speelman</name>
<affiliation wicri:level="3"><nlm:affiliation>Neurological Department, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. j.d.speelman@amc.uva.nl</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Neurological Department, Academic Medical Center, University of Amsterdam, Amsterdam</wicri:regionArea>
<placeName><settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
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<author><name sortKey="Schuurman, Richard" sort="Schuurman, Richard" uniqKey="Schuurman R" first="Richard" last="Schuurman">Richard Schuurman</name>
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<author><name sortKey="De Bie, Rob M A" sort="De Bie, Rob M A" uniqKey="De Bie R" first="Rob M A" last="De Bie">Rob M A. De Bie</name>
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<author><name sortKey="Esselink, Rianne A J" sort="Esselink, Rianne A J" uniqKey="Esselink R" first="Rianne A J" last="Esselink">Rianne A J. Esselink</name>
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<author><name sortKey="Bosch, D Andries" sort="Bosch, D Andries" uniqKey="Bosch D" first="D Andries" last="Bosch">D Andries Bosch</name>
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<affiliation wicri:level="3"><nlm:affiliation>Neurological Department, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. j.d.speelman@amc.uva.nl</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Neurological Department, Academic Medical Center, University of Amsterdam, Amsterdam</wicri:regionArea>
<placeName><settlement type="city">Amsterdam</settlement>
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<author><name sortKey="Schuurman, Richard" sort="Schuurman, Richard" uniqKey="Schuurman R" first="Richard" last="Schuurman">Richard Schuurman</name>
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<author><name sortKey="De Bie, Rob M A" sort="De Bie, Rob M A" uniqKey="De Bie R" first="Rob M A" last="De Bie">Rob M A. De Bie</name>
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<author><name sortKey="Esselink, Rianne A J" sort="Esselink, Rianne A J" uniqKey="Esselink R" first="Rianne A J" last="Esselink">Rianne A J. Esselink</name>
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<author><name sortKey="Bosch, D Andries" sort="Bosch, D Andries" uniqKey="Bosch D" first="D Andries" last="Bosch">D Andries Bosch</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Electric Stimulation Therapy (methods)</term>
<term>Electrocoagulation (methods)</term>
<term>Essential Tremor (surgery)</term>
<term>Humans</term>
<term>Multiple Sclerosis (surgery)</term>
<term>Parkinson Disease (surgery)</term>
<term>Stereotaxic Techniques</term>
<term>Subthalamic Nucleus (surgery)</term>
<term>Terminology as Topic</term>
<term>Thalamus (surgery)</term>
<term>Treatment Outcome</term>
<term>Tremor (surgery)</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electric Stimulation Therapy</term>
<term>Electrocoagulation</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Essential Tremor</term>
<term>Multiple Sclerosis</term>
<term>Parkinson Disease</term>
<term>Subthalamic Nucleus</term>
<term>Thalamus</term>
<term>Tremor</term>
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<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Stereotaxic Techniques</term>
<term>Terminology as Topic</term>
<term>Treatment Outcome</term>
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<front><div type="abstract" xml:lang="en">The role of the motor thalamus as surgical target in stereotactic neurosurgery for different kinds of tremor is discussed. For tremor in Parkinson's disease, the subthalamic nucleus becomes more and more often the surgical target, because this target also gives relief of other and more incapacitating symptoms (hypokinesia, rigidity). Stimulation is as effective in tremor suppression as coagulation but has less adverse events and permits bilateral surgery. In selected cases, thalamotomy can still be indicated.</div>
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