Orthostatic tremor responds to bilateral thalamic deep brain stimulation.

Tremor Other Hyperkinet Mov (N Y)

Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona, Unites States of America.

Published: July 2013

AI Article Synopsis

  • Orthostatic tremor (OT) is a movement disorder mostly affecting older adults, leading to issues with posture and walking, and can worsen in some cases.
  • A 75-year-old man with a decade-long struggle with OT, who had not found relief through several medications, underwent deep brain stimulation (DBS) in his thalamus.
  • After 30 months, the patient showed significant improvement in his OT symptoms, suggesting that DBS could be an effective treatment for those who do not respond to medication.

Article Abstract

Background: Orthostatic tremor (OT) is a disabling movement disorder manifested by postural and gait disturbance. Primarily a condition of elderly people, it can be progressive in up to 15% of patients. The primary treatments are medications that are often ineffective.

Case Report: A 75-year-old male presented with a 10-year history of progressive and disabling OT. He had tried various medications without significant benefits. He underwent bilateral thalamic Vim deep brain stimulation (DBS). At 30-month follow-up, he has had continued significant improvement of his OT.

Discussion: Bilateral thalamic DBS may be a viable option for medically refractory OT.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3569976PMC
http://dx.doi.org/10.7916/D8TQ608KDOI Listing

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