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Orthostatic Tremor is Responsive to Bilateral Thalamic Deep Brain Stimulation: Report of Two Cases Performed Asleep

BACKGROUND: Orthostatic tremor (OT) is a hyperkinetic movement disorder characterized by rapid tremor in the lower extremities or trunk upon standing. CASE REPORT: We report two patients presenting with OT, whose symptoms improved markedly following asleep bilateral thalamic deep brain stimulation (...

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Detalles Bibliográficos
Autores principales: Evidente, Virgilio Gerald H., Baker, Zachary J., Evidente, Maris H., Garrett, Robin, Lambert, Margaret, Ponce, Francisco A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Columbia University Libraries/Information Services 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125736/
https://www.ncbi.nlm.nih.gov/pubmed/30191085
http://dx.doi.org/10.7916/D8KS882G
Descripción
Sumario:BACKGROUND: Orthostatic tremor (OT) is a hyperkinetic movement disorder characterized by rapid tremor in the lower extremities or trunk upon standing. CASE REPORT: We report two patients presenting with OT, whose symptoms improved markedly following asleep bilateral thalamic deep brain stimulation (DBS) surgery. DISCUSSION: Medically refractory OT can respond favorably to asleep bilateral DBS surgery similar to awake surgery, and may have the advantages of less psychological trauma to the patient, shorter procedure times, and less exposure to anesthesia.