Tremor treatment [Neurosurgery Wiki]

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====== Tremor treatment ======

{{rss>https://pubmed.ncbi.nlm.nih.gov/rss/search/1HuCGFZSJIJjpV1ZMAvOAlB1OmwEfmPKB0nsehVAhaCWzzXEvJ/?limit=15&utm_campaign=pubmed-2&fc=20250405074206}}
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see also [[Tremor-predominant Parkinson's disease treatment]].
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[[Tremor]] is the most common [[movement disorder]] (intention>postural>resting), with [[essential tremor]] affecting 5–10 million persons in the U.S. [[Thalamic stimulation]] may be useful for tremors that are refractory to [[medical treatment]], including tremor dominant [[Parkinson's disease]], [[essential tremor]],
((Sydow O, Thobois S, Alesch F, et al. Multicentre European study of thalamic stimulation in essen- tial tremor: a six year follow up. J Neurol Neurosurg Psychiatry. 2003; 74:1387–1391))
((Schuurman PR, Bosch DA, Merkus MP, et al. Long- term follow-up of thalamic stimulation versus tha- lamotomy for tremor suppression. Mov Disord. 2008; 23:1146–1153))
cerebellar and [[posttraumatic tremor]]
((Jankovic J, Cardoso F, Grossman RG, et al. Outcome After Stereotactic Thalamotomy for Parkinsonian, Essential, and Other Types of Tremor. Neuro- surgery. 1995; 37:680–687)).

Before being considered for surgical intervention, it should be determined that the patient has failed maximal medical therapy.

Side effects of [[Vim]] stimulation include: paresthesias, H/A, dysequilibrium, dysarthria, dystonia & localized pain.
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Purrer V, Upadhyay N, Borger V, Schmeel C, Boecker H, Wüllner U. Structural and functional [[alteration]]s in the [[gustatory network]] underlie [[taste]] disturbances after lesional [[tremor]] [[therapy]] with [[MRgFUS]]. J Neurol Neurosurg Psychiatry. 2023 Jun 15:jnnp-2023-331324. doi: 10.1136/jnnp-2023-331324. Epub ahead of print. PMID: 37321839.

[[Focused ultrasound]]