4,370 results match your criteria: "Surgical Treatment of Tremor"

Robot-assisted microsurgery: a single-center experience of 100 cases.

J Robot Surg

December 2024

Department of Hand, Plastic and Reconstructive Surgery, Department of Hand and Plastic Surgery, BG Trauma Center Ludwigshafen, Heidelberg University, Ludwig Guttmann-Straße 13, 67071, Ludwigshafen, Germany.

The adoption of robot-assisted microsurgery (RAMS) is a cutting-edge advancement in the realm of microsurgery. The Symani Surgical System is CE approved and has recently gained FDA approval. It provides tremor elimination, motion scaling and improved ergonomics.

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A 74-year-old woman had a lacunar infarction in the brainstem and was admitted to Takeda General Hospital for treatment. She had significant sequelae and was discharged with a Modified Rankin Scale 0. Imaging follow-up was conducted every year after discharge on an outpatient basis.

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Non-conventional deep brain stimulation in a network model of movement disorders.

Biomed Phys Eng Express

December 2024

Department of Mathematics and Statistics, University of Exeter, United Kingdom.

Conventional deep brain stimulation (DBS) for movement disorders is a well-established clinical treatment. Over the last few decades, over 200,000 people have been treated by DBS worldwide for several neurological conditions, including Parkinson's disease and Essential Tremor. DBS involves implanting electrodes into disorder-specific targets in the brain and applying an electric current.

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Background: In recent years, laparoscopic surgical robots have rapidly developed. However, most focus on the overall robotic systems, with few summaries on the laparoscopic surgical robots and the master manipulators.

Methods: This paper provides a summary and analysis of typical laparoscopic surgical robots, including the strengths and limitations of existing laparoscopic surgical robots.

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Article Synopsis
  • * An online survey was conducted among members of the Functional Neurosurgery Working Group to gather data on programming practices, revealing that common strategies include using traditional monopolar review and modifying amplitude for various symptoms.
  • * Results indicate that while initial programming generally follows published recommendations, there are notable inconsistencies in approaches for specific symptoms, highlighting the need for more research in areas of variability.
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Robotic-Assisted Microsurgery in Gender-Affirming Phalloplasty.

Ann Plast Surg

January 2025

Centre for Reproductive Medicine and Andrology, Department of Clinical and Surgical Andrology, University Hospital Muenster, Muenster, Germany.

Genital gender-affirming masculinization surgeries require handling of small vessels and nerves handling in deep planes. Since the introduction of the Symani Surgical System for robotic-assisted microsurgery in clinical practice, its value in handling small and deep vessels via additional distal motion axes, motion scaling, and tremor elimination has been demonstrated. We combined the Symani with the robotic exoscope RoboticScope to achieve maximum flexibility and ergonomics for the microsurgeon.

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Objective: To present a new technique for the management of subdural empyema to promote resolution and prevent recurrence.

Background: Classic treatment for subdural empyema (SDE) has consisted of antibiotics and surgical treatment with either craniotomy or burrholes. There are still several complications that persist after current treatment, including relatively high rates of morbidity and mortality.

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Parkinson's disease (PD) afflicted more than 8.5 million people globally in 2019, as the prevalence of the condition more than doubled during the preceding 25 years. Both non-motor symptoms, such as mood disorders and cognitive impairment, and motor symptoms, such as tremors and rigidity, are indicative of this progressive neurodegenerative disease.

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Paragangliomas are rare neuroendocrine tumors, often associated with catecholamine secretion. These tumors can arise in various locations, with the majority found in the abdomen and pelvis, while a smaller percentage occurs in the thorax and head and neck regions. Diaphragmatic paragangliomas are exceedingly rare, with only two documented cases in the literature.

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Article Synopsis
  • * Despite initial treatment, he later experienced psychosis and tremors, with subsequent MRI revealing new lesions and positive anti-NMDAR antibodies, indicating an autoimmune response.
  • * Prompt recognition and treatment of post-surgical inflammatory processes are crucial, as herpetic encephalitis can potentially trigger anti-NMDAR encephalitis, requiring immediate medical intervention.
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  • Local infiltration analgesia (LIA) is vital for pain management after total hip and knee surgeries, but it carries a risk of local anesthetic systemic toxicity (LAST), which can be life-threatening.
  • A study with 1,267 patients showed that unilateral total hip arthroplasty (THA) had a higher incidence of severe LAST compared to total knee arthroplasty (TKA), with bilateral THA patients at the greatest risk.
  • Using propofol for anesthesia was associated with a lower risk of seizures and tremors than sevoflurane inhalation, highlighting the need for strategies to minimize LAST incidents for safer surgeries.
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Essential tremor (ET) is identified as the most prevalent movement disorder, primarily characterized by tremors in both upper extremities. The spectrum of surgical options for ET includes gamma knife radiosurgery (GKRS) and other stereotactic radiosurgery (SRS) modalities. Despite the limitations of these options, SRS is deemed an essential and indispensable approach.

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Parkinson's disease (PD) is the second-fastest growing neurodegenerative disease in the world. The major clinical symptoms rigor, tremor, and bradykinesia derive from the degeneration of the nigrostriatal pathway. However, PD is a multi-system disease, and neurodegeneration extends beyond the degradation of the dopaminergic pathway.

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Objective: We aim to evaluate the efficacy and safety of blinatumomab for the treatment of post-transplant relapse patients with acute lymphoblastic leukemia (ALL).

Methods: The search was conducted using several databases including the PubMed, Cochrane Library, Embase, Chinese National Knowledge Infrastructure (CNKI) and Wanfang Data Knowledge Service Platform to collect clinical studies related to blinatumomab. The primary outcome measures were complete remission (CR), 1-year overall survival (OS), 2-year OS, median OS and adverse events (AEs).

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Echography-guided Botulinum Toxin for Moving Ear Syndrome.

Tremor Other Hyperkinet Mov (N Y)

November 2024

Aldo Ravelli Center for Neurotechnology and Experimental Brain Therapeutics, Department of Health Sciences, University of Milan, Milan, Italy.

Background: Moving Ear Syndrome is a rare hyperkinetic disorder.

Phenomenology Shown: This Video Abstract illustrates typical backward movements of the right ear associated with pain and discomfort in a man with Moving Ear Syndrome.

Educational Value: Moving Ear Syndrome is effectively and safely treatable with EMG-US-guided botulinum toxin injections.

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Article Synopsis
  • Primary hyperparathyroidism is an endocrine disorder that can cause high calcium levels, often found without symptoms in patients.
  • A 47-year-old male case study highlights the mild presentation of significant hormonal issues, where fasting may have contributed to kidney stone development despite no major symptoms initially.
  • After surgery to remove a large parathyroid adenoma, the patient faced additional complications but ultimately achieved biochemical remission, demonstrating the importance of vigilant monitoring in similar cases.
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Background: Stereotactic radiosurgery (SRS) is an effective treatment for essential tremor (ET) and Parkinsonian tremor (PT). However, current treatment methods can be time-consuming and expose patients to unnecessary radiation. This study investigates the use of the Varian TrueBeam system with FFF beam modes as a potential solution for these issues.

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Article Synopsis
  • Holmes tremor (HT) is a disorder that causes different types of tremors and can severely affect a patient's daily life; traditional medications often fail to provide consistent relief.
  • This study examines the effectiveness of a new surgical technique, called MRI-guided laser interstitial thermal therapy (MRIgLITT), focusing on its impact on tremor severity, quality of life (QOL), and adverse effects in patients with persistent HT.
  • Results showed notable improvements in tremor severity and QOL, with patients experiencing a 41% reduction in tremors at 3 months and a 29% reduction at 12 months post-surgery, indicating the potential benefits of this treatment approach.
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Caffeine, commonly found in coffee and tea, affects various aspects of eye health as it blocks adenosine receptors, impacting tear production, intraocular pressure, macular perfusion, and choroidal thickness. However, its connection with eye conditions like glaucoma and cataracts remains uncertain due to conflicting research findings. Some studies suggest potential benefits for cataracts, while others warn against frequent caffeine intake in glaucoma and surgical scenarios due to possible increases in intraocular pressure.

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Tremor after solid organ transplantation: Results from the TransplantLines Biobank and Cohort Study.

Eur J Neurol

December 2024

Expertise Center Movement Disorders Groningen, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Background And Purpose: Tremor is a frequent complaint of solid organ transplant recipients. We report on the largest population investigated with clinical neurophysiological methods. Our aim is to objectively establish the tremor prevalence and syndrome in the largest population of solid organ transplant recipients.

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Introduction: Autoimmune nodopathy (AN) is a new entity in the field of peripheral neuropathies and is defined by the presence of auto-antibodies against structures of the node of Ranvier combined with specific clinico-pathophysiological features and therapy response in affected patients. The target-specific antibodies do not only serve as diagnostic biomarkers but also for treatment evaluation during follow-up.

Case Report: We report a 66-year-old female patient with various autoimmune diseases, including a history of membranous glomerulonephritis which presented with acute-onset, sensorimotor tetraparesis, cranial nerve involvement, and mild respiratory insufficiency.

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Article Synopsis
  • This study explores the use of high-frequency irreversible electroporation (H-FIRE) as a minimally invasive treatment for benign prostatic hyperplasia (BPH) in Beagle dogs, focusing on the safety and effectiveness of the procedure.
  • Using a composite steep pulse therapy device, researchers performed ablations on the prostates of 13 Beagles, testing various parameters, and found a safe electric field strength range of 1,000 to 2,000 v/cm which yields effective results.
  • The study concludes that H-FIRE is a safe and effective method for prostate tissue ablation in dogs, highlighting its potential as a valuable option among minimally invasive treatments for BPH.
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Deep brain stimulation (DBS) has revolutionized the treatment of movement disorders, including Parkinson's disease (PD), essential tremors, dystonia, and treatment-refractory obsessive-compulsive disorder (OCD). This systematic review and meta-analysis aimed to assess the impact of DBS on Body Mass Index (BMI). Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, data from 49 studies were reviewed, with 46 studies specifically focusing on BMI and DBS.

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Patient Selection for Deep Brain Stimulation for Pantothenate Kinase-Associated Neurodegeneration.

Tremor Other Hyperkinet Mov (N Y)

October 2024

Norman Fixel Institute for Neurological Diseases, University of Florida, Gainesville, Florida, USA.

Clinical Vignette: A 23-year-old woman with pantothenate kinase-associated neurodegeneration (PKAN) presented with medication-refractory generalized dystonia and an associated gait impairment.

Clinical Dilemma: Bilateral globus pallidus internus (GPi) deep brain stimulation (DBS) can be an effective treatment for dystonia. However, outcomes for PKAN DBS have been variable and there are no standardized criteria for patient selection.

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[Quality control of digestive tract reconstruction after robotic gastrectomy].

Zhonghua Wei Chang Wai Ke Za Zhi

October 2024

Department of General Surgery, the Chinese PLA General Hospital First Medical Center, Beijing 100853, China.

With features such as high-definition magnification of the surgical field, filtering of hand tremor, and robotic arm with multi-degree-of-freedom rotatable wrist, surgical robot has unique advantages in various aspects of digestive tract reconstruction (DTR) after robotic gastrectomy (RG). Currently, there is still controversy about the selection and standardized application of DTR after RG for gastric cancer. To standardize the selection and implementation of DTR, we describe various aspects of quality control before DTR, selection of indications, principles of DTR, and prevention and management of postoperative complications of DTR.

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