𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Improvements in daily functioning after deep brain stimulation of the thalamus for intractable tremor

✍ Scribed by Kelly E. Lyons; Rajesh Pahwa; Karen L. Busenbark; Alexander I. Tröster; Steve Wilkinson; William C. Koller

Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
297 KB
Volume
13
Category
Article
ISSN
0885-3185

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Deep brain stimulation (DBS) of the thalamus reduces tremor in patients with essential tremor (ET). However, few studies have determined the degree of improvement in daily functioning associated with DBS. We developed a selfreport Tremor Activities of Daily Living Scale (TADLS) to compare daily functioning with the stimulator turned on and off. Patients rated their performance on the 30 items of the TADLS with the stimulator turned off and then on. They also performed 10 activities under the supervision of a clinician who rated their functional ability with stimulation off and then on. There was a 58% improvement in self‐rated TADLS scores in patients with DBS with the stimulator on compared with stimulation off. When activities were rated by the clinicain, the average improvement in functioning with the stimulator on was 54%. There were reasonably high correlations between patient and clinician ratings of functioning. ET patients have a marked improvement in daily functioning with thalamic DBS.

📜 SIMILAR VOLUMES

Comparison of thalamotomy to deep brain
Comparison of thalamotomy to deep brain stimulation of the thalamus in essential tremor
✍ Rajesh Pahwa; Kelly E. Lyons; Steven B. Wilkinson; Alexander I. Tröster; John Ov 📂 Article 📅 2001 🏛 John Wiley and Sons 🌐 English ⚖ 25 KB 👁 2 views

OBJECTIVE: To compare outcome in Essential Tremor (ET) patients who have undergone either thalamotomy or Deep Brain Stimulation (DBS) of the thalamus. BACKGROUND: Although both thalamotomy and thalamic DBS are effective surgical treatments of tremor, it is not known if one procedure is superior to

Long-term safety and efficacy of unilate
Long-term safety and efficacy of unilateral deep brain stimulation of the thalamus in essential tremor
✍ William C. Koller; Kelly E. Lyons; Steven B. Wilkinson; Alexander I. Troster; Ra 📂 Article 📅 2001 🏛 John Wiley and Sons 🌐 English ⚖ 64 KB 👁 1 views

## Abstract Our objective was to investigate the long‐term safety and efficacy of unilateral deep brain stimulation (DBS) of the VIM nucleus of the thalamus in essential tremor. Forty‐nine patients were evaluated for DBS between December 1993 and March 1998. Tremor was assessed by a clinical rating

Deep brain stimulation of the ventral in
Deep brain stimulation of the ventral intermediate nucleus of the thalamus in medically refractory orthostatic tremor: Preliminary observations
✍ Alberto J. Espay; Andrew P. Duker; Robert Chen; Michael S. Okun; Edwin T. Barret 📂 Article 📅 2008 🏛 John Wiley and Sons 🌐 English ⚖ 165 KB 👁 1 views

## Abstract Orthostatic tremor (OT) is a disabling movement disorder associated with postural and gait impairment in the elderly. Medical therapy often yields insufficient benefit. We report the clinical and electrophysiological data on two patients with medication‐refractory OT treated with deep b