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Thalamic Deep Brain Stimulation for Orthostatic Tremor

Yaltho, Toby C.; Ondo, William G.

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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Tremor and Other Hyperkinetic Movements

More About This Work

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Center for Parkinson's Disease and Other Movement Disorders
Published Here
July 5, 2012
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