Stereotactic neurosurgery for tremor

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 incapaci...

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Bibliographic Details
Published in:Movement disorders 2002-01, Vol.17 (S3), p.S84-S88
Main Authors: Speelman, Johannes D., Schuurman, Richard, de Bie, Rob M.A., Esselink, Rianne A.J., Bosch, D. Andries
Format: Article
Language:English
Subjects:
Biological and medical sciences
Electric Stimulation Therapy - methods
Electrocoagulation - methods
Essential Tremor - surgery
Humans
Medical sciences
Multiple Sclerosis - surgery
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Parkinson Disease - surgery
Parkinson's disease
Stereotaxic Techniques
subthalamic nucleus
Subthalamic Nucleus - surgery
Terminology as Topic
thalamic stimulation
thalamotomy
Thalamus - surgery
Treatment Outcome
tremor
Tremor - surgery
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Summary: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. © 2002 Movement Disorder Society
ISSN:0885-3185
1531-8257
DOI:10.1002/mds.10147