Holmes Tremor due to Artery of Percheron Infarct: Clinical Case and Treatment Using Deep Brain Stimulation of the Vim and ZI Targets

BACKGROUND: Holmes tremor (HT) arises from disruption of the cerebellothalamocortical pathways. A lesion can interrupt the projection at any point, resulting in this tremor. We describe a case of HT due to the rare artery of Percheron infarct and its successful treatment using deep brain stimulation...

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Detalles Bibliográficos
Autores principales: O’Shea, Sarah A., Elkind, Mitchell, Pullman, Seth L., Ford, Blair
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Columbia University Libraries/Information Services 2020
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7070701/
https://www.ncbi.nlm.nih.gov/pubmed/32195040
http://dx.doi.org/10.7916/tohm.v0.732
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author O’Shea, Sarah A.
Elkind, Mitchell
Pullman, Seth L.
Ford, Blair
author_facet O’Shea, Sarah A.
Elkind, Mitchell
Pullman, Seth L.
Ford, Blair
author_sort O’Shea, Sarah A.
collection PubMed
description BACKGROUND: Holmes tremor (HT) arises from disruption of the cerebellothalamocortical pathways. A lesion can interrupt the projection at any point, resulting in this tremor. We describe a case of HT due to the rare artery of Percheron infarct and its successful treatment using deep brain stimulation. CASE REPORT: A 62-year-old woman with a right medial cerebral peduncle and bilateral thalamic stroke developed HT. Ventral intermediate nucleus (Vim) zona incerta (ZI) deep brain stimulation (DBS) surgery was performed, with improvement in her tremor. DISCUSSION: Our case supports the theory that the more caudal ZI target in combination with Vim is beneficial in treating poorly DBS-responsive tremors such as HT.
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spelling pubmed-70707012020-03-19 Holmes Tremor due to Artery of Percheron Infarct: Clinical Case and Treatment Using Deep Brain Stimulation of the Vim and ZI Targets O’Shea, Sarah A. Elkind, Mitchell Pullman, Seth L. Ford, Blair Tremor Other Hyperkinet Mov (N Y) Case Reports BACKGROUND: Holmes tremor (HT) arises from disruption of the cerebellothalamocortical pathways. A lesion can interrupt the projection at any point, resulting in this tremor. We describe a case of HT due to the rare artery of Percheron infarct and its successful treatment using deep brain stimulation. CASE REPORT: A 62-year-old woman with a right medial cerebral peduncle and bilateral thalamic stroke developed HT. Ventral intermediate nucleus (Vim) zona incerta (ZI) deep brain stimulation (DBS) surgery was performed, with improvement in her tremor. DISCUSSION: Our case supports the theory that the more caudal ZI target in combination with Vim is beneficial in treating poorly DBS-responsive tremors such as HT. Columbia University Libraries/Information Services 2020-01-07 /pmc/articles/PMC7070701/ /pubmed/32195040 http://dx.doi.org/10.7916/tohm.v0.732 Text en © 2020 O’Shea et al. https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution–Noncommercial–No Derivatives License, which permits the user to copy, distribute, and transmit the work provided that the original authors and source are credited; that no commercial use is made of the work; and that the work is not altered or transformed.
spellingShingle Case Reports
O’Shea, Sarah A.
Elkind, Mitchell
Pullman, Seth L.
Ford, Blair
Holmes Tremor due to Artery of Percheron Infarct: Clinical Case and Treatment Using Deep Brain Stimulation of the Vim and ZI Targets
title Holmes Tremor due to Artery of Percheron Infarct: Clinical Case and Treatment Using Deep Brain Stimulation of the Vim and ZI Targets
title_full Holmes Tremor due to Artery of Percheron Infarct: Clinical Case and Treatment Using Deep Brain Stimulation of the Vim and ZI Targets
title_fullStr Holmes Tremor due to Artery of Percheron Infarct: Clinical Case and Treatment Using Deep Brain Stimulation of the Vim and ZI Targets
title_full_unstemmed Holmes Tremor due to Artery of Percheron Infarct: Clinical Case and Treatment Using Deep Brain Stimulation of the Vim and ZI Targets
title_short Holmes Tremor due to Artery of Percheron Infarct: Clinical Case and Treatment Using Deep Brain Stimulation of the Vim and ZI Targets
title_sort holmes tremor due to artery of percheron infarct: clinical case and treatment using deep brain stimulation of the vim and zi targets
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7070701/
https://www.ncbi.nlm.nih.gov/pubmed/32195040
http://dx.doi.org/10.7916/tohm.v0.732
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