Tremor surgery

Tremor Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Surgery

• Botulinum neurotoxin injections,
• Thalamotomy,
• Deep brain stimulation: Parkinson's disease and essential tremor may benefit from deep brain stimulation process in which electrodes are places has become the surgical procedure of choice as it does not damage brain tissue, is reversible, and the stimulation can be altered as the disease progresses. DBS involves stimulation of the STN, globus pallidus interna, and the thalamus. However, DBS is not complication-free, it is prohibitively expensive, and its long term benefits remain debatable.
• Magnetic resonance-guided focused ultrasound (MRgFUS),
• Radio-surgical gamma knife thalamotomy.