Neurol. praxi. 2020;21(6):444-446

Surgical treatment of tremor

MUDr. Martin Nevrlý, Ph.D.1, MUDr. Jan Bardoň1, doc. MUDr. David Krahulík, Ph.D.2, MUDr. Pavel Otruba, MBA1, prof. MUDr. Petr Kaňovský, CSc., FEAN1
1 Neurologická klinika, Fakultní nemocnice Olomouc a Lékařská fakulta Palackého univerzity v Olomouci
2 Neurochirurgická klinika, Fakultní nemocnice Olomouc a Lékařská fakulta Palackého univerzity v Olomouci

Tremor is often a disabling symptom in various neurological diseases. Even though the majority of these are incurable, there is at least a possibility of symptomatic management of tremor in a high number of patients. A conservative approach consisting in pharmacotherapy is always the first choice; however, it is of little effect in a not insignificant number of patients with tremor. In a proportion of these patients, surgical treatment is the method of choice. Currently, the method of deep brain stimulation is used most widely, but some promising results of non-invasive lesion techniques have also become available.

Keywords: tremor, surgical treatment, deep brain stimulation, essential tremor, tremor in Parkinson's disease, non-invasive lesion techniques.

Published: January 6, 2021  Show citation

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Nevrlý M, Bardoň J, Krahulík D, Otruba P, Kaňovský P. Surgical treatment of tremor. Neurol. praxi. 2020;21(6):444-446.
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References

  1. Baláž M, Rektor I. Chirurgická terapie extrapyramidových onemocnění. Neurol. praxi 2009; 10(6): 348-352
  2. Barbe MT, Franklin J, Kraus D, Reker P, Dembek TA, Allert N, Wirths J, Voges J, Timmermann L, Visser-Vandewalle V. Deep brain stimulation of the posterior subthalamic area and the thalamus in patients with essential tremor: study protocol for a randomized controlled pilot trial. Trials 2016; 17(1): 476. Go to original source... Go to PubMed...
  3. Benabid AL, Chirossel JP, Mercier C, Louveau A, Passagia JG, Henry S, de Rougemont J, Vrousos C. Removable, adjustable and reusable implants for stereotactic interstitial radiosurgery of brain tumors. Appl Neurophysiol 1987; 50(1-6): 278-280. Go to original source... Go to PubMed...
  4. Bernstein JE, Kashyap S, Ray K, Ananda A. Infections in Deep Brain Stimulator Surgery. Cureus 2019; 11(8): e5440. Go to original source... Go to PubMed...
  5. Beudel M, Cagnan H, Little S. Adaptive Brain Stimulation for Movement Disorders. Prog Neurol Surg 2018; 33: 230-242. Go to original source... Go to PubMed...
  6. Cosman ER, Cosman BJ. Methods of making nervous system lesions. In: Wilkins RH, Rengachary SS, editors. Neurosurgery, vol. 3. New York: McGraw Hill 1984: 2490-2499.
  7. Elias WJ, Lipsman N, Ondo WG, Ghanouni P, Kim YG, Lee W, Schwartz M, Hynynen K, Lozano AM, Shah BB, Huss D, Dallapiazza RF, Gwinn R, Witt J, Ro S, Eisenberg HM, Fishman PS, Gandhi D, Halpern CH, Chuang R, Butts Pauly K, Tierney TS, Hayes MT, Cosgrove GR, Yamaguchi T, Abe K, Taira T, Chang JW. A randomized trial of focused ultrasound thalamotomy for essential tremor. N Engl J Med 2016; 375: 730-739. Go to original source... Go to PubMed...
  8. Fry WJ, Mosberg WH Jr, Barnard JW, Fry FJ. Production of destructive lesions in the central nervous system with ultrasound. J Neurosurg 1954; 11: 471-478 Go to original source... Go to PubMed...
  9. Higuchi Y, Matsuda S, Serizawa T. Gamma knife radiosurgery in movement disorders: indications and limitations. Mov Disord. 2017; 32: 28-35. Go to original source... Go to PubMed...
  10. Krahulík D, Nevrlý M, Otruba P, Kaňovský P. Deep Brain Stimulation in Olomouc - Techniques, Electrode Locations, and Outcome. Cesk Slov Neurol N 2014; 77/110(1): 54-58.
  11. Krahulík D, Nevrlý M, Otruba P, Bardoň J, Hrabálek L, Vaverka M, Kaňovský P. Placement Accuracy of Deep Brain Stimulation Electrodes using the NexFrame Frameless System. Cesk Slov Neurol N 2017; 80/113(2): 208-212. Go to original source...
  12. Krahulík D, Nevrlý M, Otruba P, Hrabálek L, Vaverka M, Kaňovský P. Bezrámová a bezpinová metoda pro provedení hluboké mozkové stimulace. Cesk Slov Neurol N 2019; 115(3): 342-344. Go to original source...
  13. Lee DJ, Lozano AM. The Future of Surgical Treatments for Parkinson's Disease. J Parkinsons Dis 2018; 8(s1): S79-S83. Go to original source... Go to PubMed...
  14. Louis ED. Tremor. Continuum (Minneap Minn) 2019; 25(4): 959-975. Go to original source... Go to PubMed...
  15. Mao Z, Ling Z, Pan L, Xu X, Cui Z, Liang S, Yu X. Comparison of Efficacy of Deep Brain Stimulation of Different Targets in Parkinson's Disease: A Network Meta-Analysis. Front Aging Neurosci 2019; 11: 23. Go to original source... Go to PubMed...
  16. McMaster J, Gibson G, Castro-Prado F, Vitali A, Honey CR. Neurosurgical treatment of tremor in anti-myelin-associated glycoprotein neuropathy. Neurology 2009; 73(20): 1707-1708. Go to original source... Go to PubMed...
  17. Mittal SO, Lenka A, Jankovic J. Botulinum toxin for the treatment of tremor. Parkinsonism Relat Disord 2019; 63: 31-41. Go to original source... Go to PubMed...
  18. Nevrlý M, Krahulík D, Otruba P, Bardoň J, Kaňovský P. Léčba Holmesova tremoru pomocí hluboké mozkové stimulace. Neurol. praxi 2020; 21(2): 159-161. Go to original source...
  19. Raina GB, Cersosimo MG, Folgar SS, Giugni JC, Calandra C, Paviolo JP, Tkachuk VA, Zuñiga Ramirez C, Tschopp AL, Calvo DS, Pellene LA, Uribe Roca MC, Velez M, Giannaula RJ, Fernandez Pardal MM, Micheli FE. Holmes tremor: Clinical description, lesion localization, and treatment in a series of 29 cases. Neurology 2016; 86(10): 931-938. Go to original source... Go to PubMed...
  20. Ramirez-Zamora A, Okun MS. Deep brain stimulation for the treatment of uncommon tremor syndromes. Expert Rev Neurother 2016; 16(8): 983-997. Go to original source... Go to PubMed...
  21. Shanker V. Essential tremor: diagnosis and management. BMJ 2019; 366: l4485. Go to original source... Go to PubMed...
  22. Sharma S, Pandey S. Treatment of essential tremor: current status. Postgrad Med J 2020; 96(1132): 84-93. Go to original source... Go to PubMed...
  23. Urgošík D, Jech R, Růžička E. Hluboká mozková stimulace u nemocných s extrapyramidovými poruchami pohybu - stereotaktická procedura a intraoperasční nálezy. Cesk Slov Neurol N 2011; 74/107(2): 175-186.
  24. Urgošîk D, Vladyka V. Neurochirurgická léčba Parkinsonovy nemoci. In: Růžička E, Roth J, Kaňovský P: Parkinsonova nemoc a parkinsonské syndromy. Galén, Praha 2000.
  25. Walters H, Shah BB. Focused Ultrasound and Other Lesioning Therapies in Movement Disorders. Curr Neurol Neurosci Rep 2019; 19(9): 66. Go to original source... Go to PubMed...
  26. Zaaroor M, Sinai A, Goldsher D, Eran A, Nassar M, Schlesinger I. Magnetic resonance - guided focused ultrasound thalamotomy for tremor: a report of 30 Parkinson's disease and essential tremor cases. J Neurosurg 2018; 128(1): 202-210. Go to original source... Go to PubMed...




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