Bilateral caudal zona incerta nucleus stimulation for essential tremor: outcome and quality of life
- 1 February 2011
- journal article
- research article
- Published by BMJ in Journal of Neurology, Neurosurgery & Psychiatry
- Vol. 82 (8), 899-904
- https://doi.org/10.1136/jnnp.2010.222992
Abstract
Background Over the past few years, bilateral stimulation of the caudal or motor part of the zona incerta nucleus (cZI) has been performed by the authors in patients with essential tremor (ET). Outcomes including quality of life data in 15 patients with a follow-up period of up to 84 months (mean 31.7±28.6 months) are presented. Methods 15 consecutive ET patients underwent MRI guided bilateral cZI deep brain stimulation implantation. Patients were assessed by applying the Fahn–Tolosa–Marin Tremor Rating Scale and the Short Form Health Survey-36 (SF-36) to assess quality of life. Results The total tremor score improved by 73.8% (pConclusion Bilateral cZI stimulation is safe and effective in suppressing the postural and action component of ET. It is associated with a low incidence of stimulation related complications and patients do not develop tolerance to stimulation with maintained clinical benefit over a follow-up period of up to 7 years.Keywords
This publication has 32 references indexed in Scilit:
- Epidemiology and Genetics of Essential TremorMovement Disorders, 2008
- Thalamic Deep Brain StimulationArchives of Neurology, 2001
- Vim Thalamic Stimulation for TremorArchives of Medical Research, 2000
- Bilateral thalamic stimulation for the treatment of essential tremorNeurology, 1999
- Thalamic deep brain stimulation for the treatment of head, voice, and bilateral limb tremorJournal of Neurosurgery, 1999
- Tolerance and Tremor Rebound following Long-Term Chronic Thalamic Stimulation for Parkinsonian and Essential TremorStereotactic and Functional Neurosurgery, 1999
- Chronic electrical stimulation of the ventralis intermedius nucleus of the thalamus as a treatment of movement disordersJournal of Neurosurgery, 1996
- The relationship of essential tremor to other movement disorders: Report on 678 patientsAnnals of Neurology, 1994
- Chronic VIM Thalamic Stimulation in Parkinson’s Disease, Essential Tremor and Extra-Pyramidal DyskinesiasPublished by Springer Science and Business Media LLC ,1993
- Long-term suppression of tremor by chronic stimulation of the ventral intermediate thalamic nucleusThe Lancet, 1991