Thalamic-Caudal Zona Incerta Deep Brain Stimulation for Refractory Orthostatic Tremor: A Report of 3 Cases.

作者: Dilan Athauda , Dejan Georgiev , Iciar Aviles-Olmos , Amy Peters , Brian Day

DOI: 10.1002/MDC3.12345

关键词: Zona incertaThalamusVentral intermediate nucleusOrthostatic tremorCaudal Zona IncertaRefractoryDeep brain stimulationAnesthesiaSpinal cordMedicine

摘要: Orthostatic tremor (OT) is a rare, disabling movement disorder characterized by the development of high-frequency lower limbs and feelings unsteadiness upon standing, which compel patient to sit down or walk. Medical therapy often unsatisfactory. Previous reports suggest that deep brain stimulation ventral intermediate nucleus thalamus may improve clinical outcomes. The authors report 3 patients who had intractable orthostatic treated with bilateral thalamus-caudal zona incerta, resulting in improved sustained improvements symptoms, although there were no apparent changes underlying frequency onset.

参考文章(15)
Virgilio Gerald H. Evidente, John N. Caviness, Orland K. Boucher, Mark K. Lyons, Mandana Behbahani, Orthostatic tremor responds to bilateral thalamic deep brain stimulation. Tremor and other hyperkinetic movements (New York, N.Y.). ,vol. 2, pp. 1346- 1346 ,(2012) , 10.7916/D8TQ608K
Alberto J. Espay, Andrew P. Duker, Robert Chen, Michael S. Okun, Edwin T. Barrett, Johnna Devoto, Pamela Zeilman, Maureen Gartner, Noël Burton, Helard A. Miranda, George T. Mandybur, Theresa A. Zesiewicz, Kelly D. Foote, Fredy J. Revilla, Deep brain stimulation of the ventral intermediate nucleus of the thalamus in medically refractory orthostatic tremor: preliminary observations. Movement Disorders. ,vol. 23, pp. 2357- 2362 ,(2008) , 10.1002/MDS.22271
Carlos Magariños-Ascone, Fidel Martínez Ruiz, Arantza San Millán, Elena Montes, Ignacio Regidor, Marta del Alamo de Pedro, Roberto Figueiras-Méndez, Electrophysiological evaluation of thalamic DBS for orthostatic tremor Movement Disorders. ,vol. 25, pp. 2476- 2477 ,(2010) , 10.1002/MDS.23333
J. A. Norton, D. E. Wood, B. L. Day, Is the spinal cord the generator of 16-Hz orthostatic tremor? Neurology. ,vol. 62, pp. 632- 634 ,(2004) , 10.1212/WNL.62.4.632
P. Brown, New clinical sign for orthostatic tremor The Lancet. ,vol. 346, pp. 306- 307 ,(1995) , 10.1016/S0140-6736(95)92190-7
J K Krauss, Chronic spinal cord stimulation in medically intractable orthostatic tremor Journal of Neurology, Neurosurgery, and Psychiatry. ,vol. 77, pp. 1013- 1016 ,(2006) , 10.1136/JNNP.2005.086132
T. Foltynie, L. Zrinzo, I. Martinez-Torres, E. Tripoliti, E. Petersen, E. Holl, I. Aviles-Olmos, M. Jahanshahi, M. Hariz, P. Limousin, MRI-guided STN DBS in Parkinson's disease without microelectrode recording: efficacy and safety Journal of Neurology, Neurosurgery, and Psychiatry. ,vol. 82, pp. 358- 363 ,(2011) , 10.1136/JNNP.2010.205542
Maria Fiorella Contarino, Lo J. Bour, P. Richard Schuurman, Erik R. Blok, Vincent J.J. Odekerken, Pepijn van den Munckhof, Rob M.A. de Bie, Anne-Fleur van Rootselaar, Thalamic deep brain stimulation for orthostatic tremor: Clinical and neurophysiological correlates. Parkinsonism & Related Disorders. ,vol. 21, pp. 1005- 1007 ,(2015) , 10.1016/J.PARKRELDIS.2015.06.008
Willibald Gerschlager, Alexander Münchau, Regina Katzenschlager, Peter Brown, John C. Rothwell, Niall Quinn, Andrew J. Lees, Kailash P. Bhatia, Natural history and syndromic associations of orthostatic tremor: a review of 41 patients. Movement Disorders. ,vol. 19, pp. 788- 795 ,(2004) , 10.1002/MDS.20132