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Stereotactic neurosurgery for tremor

✍ Scribed by Johannes D. Speelman; Richard Schuurman; Rob M.A. de Bie; Rianne A.J. Esselink; D. Andries Bosch


Publisher
John Wiley and Sons
Year
2002
Tongue
English
Weight
37 KB
Volume
17
Category
Article
ISSN
0885-3185

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✦ Synopsis


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.


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