Ipsilateral thalamic stimulation after thalamotomy for essential tremor. A case report
We report a patient with severe essential tremor who was treated with thalamic stimulation ipsilateral to a prior thalamotomy. Thalamotomy performed 30 years prior to stimulator implantation provided tremor reduction for one year before the tremor recurred. An electrode lead was implanted in the thalmaic nucleus ventralis intermedius (Vim) with nearly complete control of his tremor with sustained benefit over an 18-month follow-up period. Vim thalamic stimulation is an effective treatment option for recurrent tremor in patients who have undergone ipsilateral thalamotomy.
Medical Subject Headings
Aged; Electric Stimulation Therapy (methods); Essential Tremor (surgery, therapy); Humans; Male; Recurrence; Stereotaxic Techniques (instrumentation); Ventral Thalamic Nuclei (surgery)
Stereotactic and functional neurosurgery
Digital Object Identifier (DOI)
Racette, B A.; Rich, K M.; Randle, J; and Mink, J W., "Ipsilateral thalamic stimulation after thalamotomy for essential tremor. A case report" (2000). Neurology. 1141.