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Thalamotomy for essential tremor: a very long-term follow-up
Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Neurosurgery.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Speech and Language Therapy.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Speech and Language Therapy.
Umeå University, Faculty of Medicine, Department of Radiation Sciences, Diagnostic Radiology.
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2012 (English)In: The Open Neurosurgery Journal, ISSN 1876-5297, Vol. 5, 1-7 p.Article in journal (Refereed) Published
Abstract [en]

Lesional procedures in the thalamus (thalamotomies)were introduced in 1954 by Hassler in the treatment of Parkinsoniantremor and were later also used for ET [1]. After theintroduction of Deep Brain Stimulation (DBS) by Benabid in1987, this technique has gradually replaced lesional surgeryand DBS is at present the treatment of choice for ET [2].DBS is considered to be a reversible technique with fewerrisks, especially in bilateral procedures [3]. Disadvantages ofDBS includehardware related complications, the high cost ofthe procedure, and the more cumbersome life-long follow-up[4]. The American Academy of Neurology gives thalamotomyevidence class C (probably effective) in a recent guidelineupdate [5].For these reasons lesional surgery has recentlybeen discussed as an alternative to DBS in certainselected cases [4].We have therefore decided to review thelong-term results of thalamotomies performed at our departmentby scoring the present symptoms and describing thepresence of persistent neurological deficits which might beattributed to the procedure.

Place, publisher, year, edition, pages
Bentham Open , 2012. Vol. 5, 1-7 p.
Keyword [en]
Essential tremor, thalamotomy, vim
National Category
Neurology
Research subject
Neurosurgery
Identifiers
URN: urn:nbn:se:umu:diva-52915OAI: oai:DiVA.org:umu-52915DiVA: diva2:507748
Available from: 2012-03-06 Created: 2012-03-06 Last updated: 2012-06-04Bibliographically approved

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Sandvik, Ulrikavan Doorn, JanisBirgander, RichardBlomstedt, Patric

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