Tremor surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
*[[Botulinum]] [[neurotoxin]] [[injections]], | *[[Botulinum]] [[neurotoxin]] [[injections]]: | ||
**It has shown improvement in [[patients]] with [[hand]] tremor, regardless of the [[etiology]]. | |||
*[[Thalamotomy]]: | *[[Thalamotomy]]: | ||
**Helpful in [[medication]] [[resistant]] [[essential tremor]], [[cerebellar]] tremor, or [[Parkinson's disease]] related tremor. | **Helpful in [[medication]] [[resistant]] [[essential tremor]], [[cerebellar]] tremor, or [[Parkinson's disease]] related tremor. | ||
Revision as of 03:40, 29 January 2021
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Tremor Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Tremor surgery On the Web |
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American Roentgen Ray Society Images of Tremor surgery |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery
- Botulinum neurotoxin injections:
- Thalamotomy:
- Helpful in medication resistant essential tremor, cerebellar tremor, or Parkinson's disease related tremor.
- Tremor is permanently treated by creating lesions in thalamus responsible for causing tremors.
- Most common side effect is dysarthria, cognitive impairment, and imbalance.
- It is an invasive procedure.
- Deep brain stimulation:
- Parkinson's disease and essential tremor may benefit from deep brain stimulation.
- In this non-invasive procedure electrodes are implanted to send high-frequency electrical signals to the thalamus, substantia nigra, or globus pallidus. Downside of deep brain stimulation is the expense, and long term benefits are not established. It is reversible.
- Magnetic resonance-guided focused ultrasound (MRgFUS),
- Radio-surgical gamma knife thalamotomy.