title: Stereotactic neurosurgery for tremor.
abstract: 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.
authors.affiliation: Neurological Department, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. j.d.speelman@amc.uva.nl
authors.forename: Johannes D
authors.initials: JD
authors.lastname: Speelman
authors.forename: Richard
authors.initials: R
authors.lastname: Schuurman
authors.forename: Rob M A
authors.initials: RM
authors.lastname: de Bie
authors.forename: Rianne A J
authors.initials: RA
authors.lastname: Esselink
authors.forename: D Andries
authors.initials: DA
authors.lastname: Bosch
mesh_terms: D004599:Electric Stimulation Therapy / Q000379:methods; D004564:Electrocoagulation / Q000379:methods; D020329:Essential Tremor / Q000601:surgery*; D006801:Humans; D009103:Multiple Sclerosis / Q000601:surgery; D010300:Parkinson Disease / Q000601:surgery; D013238:Stereotaxic Techniques; D020531:Subthalamic Nucleus / Q000601:surgery*; D009626:Terminology as Topic; D013788:Thalamus / Q000601:surgery*; D016896:Treatment Outcome; D014202:Tremor / Q000601:surgery*