Movement Disorders (revue)

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Stereotactic neurosurgery for tremor.

Identifieur interne : 006119 ( Main/Merge ); précédent : 006118; suivant : 006120

Stereotactic neurosurgery for tremor.

Auteurs : Johannes D. Speelman [Pays-Bas] ; Richard Schuurman ; Rob M A. De Bie ; Rianne A J. Esselink ; D Andries Bosch

Source :

RBID : pubmed:11948760

English descriptors

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:11948760

Le document en format XML

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<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>
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<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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<term>Electric Stimulation Therapy</term>
<term>Electrocoagulation</term>
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<term>Essential Tremor</term>
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<term>Parkinson Disease</term>
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<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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