Stereotactic neurosurgery for tremor.
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.
Speelman
Johannes D
JD
Neurological Department, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. j.d.speelman@amc.uva.nl
Schuurman
Richard
R
de Bie
Rob M A
RM
Esselink
Rianne A J
RA
Bosch
D Andries
DA
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*