• Journal of Korean Neurosurgical Society
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• v.37 no.2
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• pp.105-111
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• 2005

Objective: Tremor, either essential tremor or Parkinsonian tremor, has been effectively and safely treated by lesioning the ventral intermediate(Vim) nucleus of the thalamus with or without mircroelectrode recording. The authors evaluate the treatment outcome of sixteen tremor patients who had been treated with thalamotomy without microelectrode. Methods: Between September, 2001, and December, 2003, sixteen tremor patients were treated with thalamotomy without microelectrode recording. Twelve patients suffered from Parkinsonian tremor and four patients were essential tremor patients. The male to female ratio was 1.6 to 1 with median age of 59.6 years (range; 39-74 years). Under local anesthesia, a 3mm hole was made using a hand-held twist drill, and the dura mater was penetrated with a 1.2mm sharp drill beat. Radiofrequency(RF) electrode was placed in the Vim nucleus of thalamus. With intraoperative macrostimulation, RF lesion was made. Postoperative CT scan and/or MR imaging was performed to confirm the localization of the target lesioned. Preoperative and postoperative tremor was evaluated with simple tremor severity scale and the development of complications related with the procedure was closely reviewed at the immediate postoperative period and the last follow-up. Results: It produces immediate relief in up to 98.4% of the patients. There were no development of complications related with procedure, all patients discharged one or two days after surgery. Conclusion: Vim thalamotomy without microelectrode recording is a safe and effective procedure to control the tremor with minimal morbidity. Intraoperative macroelectrode stimulation safely localizes the Vim nucleus target of the thalamus for the treatment of patients with tremor.

• Journal of Electrochemical Science and Technology
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• v.11 no.4
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• pp.379-383
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• 2020

The novel voltammetry using a semi-circular potential wave for quasi-reversible charge transfer system on electrode is theoretically investigated. Compared with conventional voltammetry based on linear sweep such as linear sweep voltammetry (LSV), semi-circular potential sweep voltammetry (SCV) may decrease the charging current outside the center of potential range and increase the faradaic current at the midpoint due to variable scan rate. In this paper, we investigate the system based on macroelectrode where simple 1 dimensional (1 D) diffusion system is valid with various charge transfer rate constant (k₀). In order to observe the amplification at midpoint, voltammetric response with different midpoint ranging from -200 mV to 200 mV are studied. SCVs shows both the shift of peak potential and the amplification of peak current for quasi-reversible electrode reaction while only higher peak current is observed for reversible reaction. Moreover, the higher current at midpoint enable the amplification of current at low overpotential region which may assist the determination of onset potential as a figure-of-merit in electrocatalyst.

• Journal of Korean Neurosurgical Society
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• v.29 no.10
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• pp.1360-1364
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• 2000

This 26-year-old man gradually developed a disabling midbrain tremor involving both distal and proximal part of left upper arm. On neurologic examination, oculomotor palsy, and ataxia of the left arm were noted. Radiologic examination revealed a mass lesion on midbrain tegmentum. He was tentatively diagnosed as brain tumor (presumably germinoma) without stereotactic biopsy. Conventional radiation therapy was given for this lesion. Although there was improvement in the radiologic imaging, his midbrain tremor worsened and became untolerable. The authors performed MR-guided stereotactic Vim-thalamotomy. With macroelectrode stimulation and radiofequency lesioning, his resting, postural and action tremors were almost completely abolished in both distal and proximal part of left upper extremity. Authors consider that Vim thalamotomy is still an effective means of controlling midbrain tremor involving proximal upper limb.