Thalamic Deep Brain Stimulation for Orthostatic Tremor
Toby C. Yaltho; William G. Ondo
- Thalamic Deep Brain Stimulation for Orthostatic Tremor
Yaltho, Toby C.
Ondo, William G.
- Center for Parkinson's Disease and Other Movement Disorders
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- Tremor and Other Hyperkinetic Movements
- Background: Orthostatic tremor is an uncommon disorder manifest by high frequency, low amplitude leg tremor upon weight bearing. Treatment with oral tremor agents is inconsistent and usually not satisfactory. Methods: We implanted bilateral ventralis intermedius nuclei deep brain stimulators into an 82-year-old male with refractory orthostatic tremor. Results: The patient had a marked subjective and objective improvement in leg and arm tremor, mainly manifested by an improved ability to stand. Discussion: Bilateral thalamic deep brain stimulation may be considered in refractory cases of orthostatic tremor.
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