Stereotactic neurosurgery in the treatment of tremor.
The results of stereotactical thalamotomy in 40 adult patients suffering from tremor of different etiology are presented. A combination of lesions of VOA-VOP-ZI seems to be optimal. Early results have been excellent in 63%, good in 23%, fair in 6% and poor in 8%. Long-term follow-up showed a negative shift with 40% excellent, 6% good and 54% poor results. In Parkinson disease with predominant tremor relief of this invalidating symptom can be achieved. But L-dopa therapy must be continued and surgical treatment does not stop the general disease progression.
Broggi
G
G
Department of Neurosurgery, Istituto Neurologico, C. Besta, Milano, Italy.
Giorgi
C
C
Servello
D
D
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013238:Stereotaxic Techniques; D013787:Thalamic Nuclei / Q000601:surgery; D014202:Tremor / Q000601:surgery*