[Continuous electric thalamus stimulation for the treatment of tremor resistant to pharmacotherapy]

Ned Tijdschr Geneeskd. 1995 May 6;139(18):926-30.
[Article in Dutch]

Abstract

Objective: To determine the efficacy of continuous electrical thalamic stimulation in the treatment of pharmacotherapy-resistant tremor in patients with Parkinson's disease and essential tremor.

Design: Descriptive study.

Setting: Academic Medical Centre, Academic Hospital of the University of Amsterdam.

Method: Five patients with Parkinson's disease and one with familial essential tremor suffering from pharmacotherapy-resistant tremor were treated by implantation of a four-polar stimulation electrode in the contralateral ventrolateral thalamic nucleus connected subcutaneously to a stimulator. Continuous electrical stimulation was applied in the daytime and switched off during the night. Three of the Parkinson patients were subjected to contralateral thalamotomy as well.

Results: Three patients (including the one with essential tremor) had complete tremor suppression during stimulation, and the other three had intermittent minimal tremor. There were no early complications (follow-up: 1 month-1 year). One patient had mild hemi-inattention and pyramidal signs due to the thalamotomy.

Conclusion: Continuous thalamic stimulation appears to be a good alternative to thalamotomy. It renders possible bilateral surgical treatment for severe bilateral tremor.

Publication types

  • English Abstract

MeSH terms

  • Aged
  • Electric Stimulation Therapy / methods*
  • Electrodes, Implanted
  • Female
  • Humans
  • Male
  • Middle Aged
  • Parkinson Disease / therapy*
  • Thalamic Nuclei
  • Thalamus / surgery
  • Tremor / therapy*