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Deep Brain Stimulation of the Subthalamic Area for Dystonic Tremor

  • Jeong, Seong-Gyu (Departments of Neurosurgery, Bongseng Memorial Hospital) ;
  • Lee, Myung-Ki (Departments of Neurosurgery, Bongseng Memorial Hospital) ;
  • Lee, Won-Ho (Departments of Neurology, Bongseng Memorial Hospital) ;
  • Ghang, Chang-Ghu (Departments of Neurosurgery, Bongseng Memorial Hospital)
  • 발행 : 2009.05.28

초록

The stereotactic surgical target for dystonic tremor is the subject of ongoing debate. Targeting the subthalamic area using deep brain stimulation has been regaining interest as a therapy for various types of involuntary movements. We describe the efficacy of stimulation of the subthalamic area in a patient with intractable dystonic tremor. Excellent control without neurological complications was achieved. This case report demonstrates that the subthalamic area is a valuable target for the control of dystonic tremor.

키워드

참고문헌

  1. Deuschl G : Dystonic tremor. Rev Neurol (Paris) 159 : 900-905, 2003
  2. Kitagawa M, Murata J, Kikuchi S, Sawamura Y, Saito H, Sasaki H, et al : Deep brain stimulation of subthalamic area for severe proximal tremor. Neurology 55 : 114-116, 2000 https://doi.org/10.1212/WNL.55.1.114
  3. Molnar GF, Sailer A, Gunraj CA, Lang AE, Lozano AM, Chen R : Thalamic deep brain stimulation activates the cerebellothalamocortical pathway. Neurology 63 : 907-909, 2004 https://doi.org/10.1212/01.WNL.0000137419.85535.C7
  4. Mundinger F : Stereotaxic interventions on the zona incerta area for treatment of extrapyramidal motor disturbances and their results. Confin Neurol 26 : 222-230, 1965 https://doi.org/10.1159/000104030
  5. Murata J, Kitagawa M, Uesugi H, Saito H, Iwasaki Y, Kikuchi S, et al : Electrical stimulation of the posterior subthalamic area for the treatment of intractable proximal tremor. J Neurosurg 99 : 708-715, 2003 https://doi.org/10.3171/jns.2003.99.4.0708
  6. Plaha P, Khan S, Gill SS : Bilateral stimulation of the caudal zona incerta nucleus for tremor control. J Neurol Neurosurg Psychiatry 79 : 504-513, 2008 https://doi.org/10.1136/jnnp.2006.112334
  7. Spiegel EA, Wycis HT, Szekely EG, Adams DJ, Flanagan M, Baird HW 3rd : Campotomy in various extrapyramidal disorders. J Neurosurg 20 : 871-884, 1963 https://doi.org/10.3171/jns.1963.20.10.0871
  8. Velasco F, Jimenez F, Perez ML, Carrillo-Ruiz JD, Velasco AL, Ceballos J, et al : Electrical stimulation of the prelemniscal radiation in the treatment of Parkinson’s disease : an old target revised with new techniques. Neurosurgery 49 : 293-306; discussion 306-308, 2001 https://doi.org/10.1097/00006123-200108000-00009
  9. Vercueil L, Krack P, Pollak P : Results of deep brain stimulation for dystonia : a critical reappraisal. Mov Disord 17 (Suppl 3) : S89-S93, 2002 https://doi.org/10.1002/mds.10148
  10. Vitek JL : Pathophysiology of dystonia : a neuronal model. Mov Disord 17 (Suppl 3) : S49-S62, 2002

피인용 문헌

  1. Optimizing a Rodent Model of Parkinson's Disease for Exploring the Effects and Mechanisms of Deep Brain Stimulation vol.2011, pp.None, 2009, https://doi.org/10.4061/2011/414682
  2. The treatment of dystonic tremor: a systematic review vol.85, pp.7, 2014, https://doi.org/10.1136/jnnp-2013-305532
  3. Deep brain stimulation for the treatment of uncommon tremor syndromes vol.16, pp.8, 2009, https://doi.org/10.1080/14737175.2016.1194756
  4. Neuroanatomical background and functional considerations for stereotactic interventions in the H fields of Forel vol.223, pp.1, 2009, https://doi.org/10.1007/s00429-017-1570-4
  5. Rest tremor in dystonia: epidemiology, differential diagnosis, and pathophysiology vol.41, pp.9, 2009, https://doi.org/10.1007/s10072-020-04402-9