Stereotactic surgery for post-traumatic cerebellar syndrome: an analysis of seven cases.
A variety of post-traumatic movement disorders may follow severe head injury. Generally, the movement disorder is a moderate to severe intention tremor, and this is often the major source of disability for the patient. The clinical features of 7 patients whose predominant problem was a post-traumatic cerebellar syndrome, who were treated by stereotactic ablation of the ventralis intermedius thalamic nucleus, are reported. 6 patients had good relief of their tremor and only 1 patient did not improve. Conservative treatment is usually ineffective, but in appropriately selected cases, stereotactic thalamotomy has a high degree of clinical success.
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PV
Department of Neurological Surgery, Addenbrooke's Hospital, Cambridge, UK.
D000293:Adolescent; D000328:Adult; D002531:Cerebellum / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D009069:Movement Disorders / Q000209:etiology / Q000601:surgery*; D013238:Stereotaxic Techniques; D013788:Thalamus / Q000601:surgery*; D014202:Tremor / Q000209:etiology / Q000601:surgery