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Surgical Interventions For The Treatment of Tremor

Year 2010, Issue: 3, 123 - 127, 01.09.2010

Yasemin Akgün Selçuk Peker

Abstract

Many etiological factors may cause tremor. Surgical treatment can be used in some forms of tremor if medical therapy fails. Essential tremor, Parkinson’s disease tremor, Holmes tremor and multiple sclerosis tremor can be treated by surgery. Surgical methods are radiofrequency thalamotomy, thalamic deep brain stimulation and gamma knife thalamotomy. The success rate is high in essential tremor and Parkinsons disease tremor. However in other types of tremor surgical results are not very satisfactory. The complication rates after surgery are within acceptable limits nowadays

Keywords

deep brain stimulation gamma knife surgery thalamotomy tremor

References

  • Emre M, Hanağası H. Hareket bozuklukları: Kavram ve sınıflama. Parkinson Hastalığı. Murat Emre, Ed. İstanbul, Güneş Tıp Kitabevleri 2010, pp 55-58.
  • Bakay RAE. Ablative and Stimulation procedures: Techniques and Outcome. Seminars in Neurosurg 2001;12:195-212.
  • Hassler R, Riechert T, Mundinger F, Umbach W, Ganglberger JA. Physiological observations in extrapyramidal motor disturbances. Brain 1960;83:337- 350.
  • Leksell L. Cerebral radiosurgery. Acta Chir Scand 1968;134:585-595
  • Kondziolka D. Functional Neurosurgery. Neurosurgery 1999;44:12-22.
  • Peker S, Kılıç T, Pamir MN: Tremor tedavisinde Gamma Knife. Olgu sunumu. Türk Nöroloji Dergisi 2002;8:107-112.
  • Peker S. Fonksiyonel hastalıkların tedavisinde radyocerrahi. Türkiye Klinikleri J Neurosurg-Special Topics 2009;2:70-77.
  • Starr PA, Vitek JL, Bakay RAE. Ablative surgery and deep brain stimulation for parkinson’s disease. Neurosurgery 1998;43:989-1015.
  • Cosman ER. Radiofrequency lesions. In Textbook of Stereotactic and Functional Neurosurgery. PL Gildenberg and RR Tasker Eds. New York, McGraw- Hill 1997, pp973-986.
  • Dieckmann G, Gabriel E, Hassler R. Size, form and structural peculiarities of experimental brain lesions obtained by thermo-controlled radiofrequency. Confin Neurol 1965;26:134-142.
  • Walter BL, Vitek JL. Surgical treatment for parkinson’s disease. Lancet Neurology 2004;3:719-728.
  • Olanow CW, Brin MF, Obeso JA. The role of deep brain stimulation as a surgical treatment for parkinson’s disease. Neurology 2000;Suppl 6:S60-S66.
  • Louis ED, Ottman R, Hauser WA. How common is the most common adult movement disorder? Estimates of the prevalence of essential tremor throughout the world. Mov Disord 1998;13:5-10.
  • Kondziolka D, Ong JG, Lee JY, Moore RY, Flickinger JC, Lunsford LD. Gamma Knife thalamotomy for essential tremor. J Neurosurg 2008;108:111-117.
  • Young RF, Li F, Vermeulen S, Meier R. Gamma Knife thalamotomy for treatment of essential tremor: long-term results. J Neurosurg 2009 Nov 6 [Epub ahead of print]
  • Bertrand C, Hardy J, Molina-Negro P, Martinez SN. Tremor of attitude. Confin Neurol 1969;31:37-41
  • Van Manen J. Stereotaxic operations in cases of hereditary and intention tremor. Acta Neurosurg 1974;Suppl 21:49-55.
  • Nagaseki Y, Shibazaki T, Hirai T et al. Long-term follow-up results of selective VIM-thalamotomy. J Neurosurg 1986;65:296-302.
  • Mohadjer M, Goerke H, Milios E, Etou A, Mundinger F. Long-term results of stereotaxy in the treatment of essential tremor. Stereotact Funct Neurosurg 1990;55:125-129.
  • Benabid AL, Pollak P, Gervason C et al. Long-term supression of tremor by chronic stimulation of the ventral intermediate thalamic nucleus. Lancet 1991;337:403-406.
  • Koller W, Pahwa R, Busenbark KL et al. High-frequency unilateral thalamic stimulation in the treatment of essential and parkinsonian tremor. Ann Neurol 1997;42:292-299.
  • Zhang K, Bhatia S, Oh MY, Cohen D, Angle C, Whiting D. Long-term results of thalamic deep brain stimulation for essential tremor. J Neurosurg 2009 Nov 13 [Epub ahead of print]
  • Lyons KE, Wilkinson SB, Pahwa R. Stimulation of the motor cortex for disabling essential tremor. Clin Neurol Neurosurg 2006;108:564-567.
  • Broggi G, Dones I, Ferroli P, Franzini A, Genitrini S, Micon BM. Surgery for movement disorders: Complications and complication avoidance. Seminars in Neurosurg 2001;12:225-231.
  • Duma CM, Jacques DB, Kopyov OV, Mark RJ, Copcutt B, Farokhi HK. Gamma knife radiosurgery for thalamotomy in parkinsonian tremor: a five year experience. J Neurosurg 1998;88:1044-1049.
  • Ondo W, Jankovic J, Schwartz K, Almaguer M, Simpson RK. Unilateral thalamic deep brain stimulation for refractory essential tremor and Parkinsons disease tremor. Neurology 1998;51:1063-1069.
  • Benabid AL, Pollak P, Hoffman D, LeBas JF, Ming GD. Chronic high-frequency thalamic stimulation in Parkinson’s disease. In Therapy of Parkinsons Disease, WC Koller and G Paulson Eds, New York, Marcel Dekker 1995, pp 381-401.
  • Schuurman PR, Bosch DA, Merkus MP, Speelman JD. Long-term follow-up of thalamic stimulation versus thalamotomy for tremor suppression. Mov Disord 2008;15:1146-1153.
  • Bittar RG, Hyam J, Nandi D et al. Thalamotomy versus thalamic stimulation for multiple sclerosis tremor. J Clin Neurosci 2005;12:638-642.
  • Yap L, Kouyialis A, Varma TR. Stereotactic neurosurgery for disabling tremor in multiple sclerosis: thalamotomy or deep brain stimulation? Br J Neurosurg 2007;21:349-354.
  • Mathieu D, Kondziolka D, Niranjan A, Flickinger J, Lunsford LD. Gamma knife thalamotomy for multiple sclerosis tremor. Surg Neurol 2007;68:394- 399.
  • Plaha P, Khan S, Gill SS. Bilateral stimulation of the caudal zona incerta nucleus for tremor control. J Neurol Neurosurg Psychiatry 2008;79:504-513.
  • Sanborn MR, Danish SF, Ranalli NJ, Grady MS, Jaggi JL, Baltuch GH. Thalamic deep brain stimulation for midbrain tremor secondary to cystic degeneration of the brainstem. Stereotact Funct Neurosurg 2009;87:128-133.
  • Sobstyl M, Zabek M, Koziara H, Kadziołka B. Stereotactic ventrolateral thalamotomy in the treatment of Holmes tremor. Neurol Neurochir Pol 2004;38:101-107.
  • Lim DA, Khandhar SM, Heath S, Ostrem JL, Ringel N, Starr P. Multiple target deep brain stimulation for multiple sclerosis related and poststroke Holmes’ tremor. Stereotact Funct Neurosurg 2007;85:144-149.
  • Peker S, Isik U, Akgün Y, Özek MM. Deep brain stimulation for Holmes tremor related to a thalamic abscess. Childs Nerv Syst 2008;24:1057-1062

Tremor Tedavisinde Cerrahi Girişimler

Year 2010, Issue: 3, 123 - 127, 01.09.2010

Yasemin Akgün Selçuk Peker

Abstract

Tremor çeşitli nedenlerle ortaya çıkabilir. Bazı tip tremorlarda medikal tedavinin yetersiz kaldığı hallerde cerrahi tedavi uygulanabilmektedir. Esansiyel tremor, Parkinson hastalığı tremoru, Holmes tremoru, Multipl skleroz tremoru cerrahi tedavinin uygulanabildiği bazı tremor tipleridir. Cerrahi tedavide radyofrekans talamotomi, talamik derin beyin stimulasyonu ve gamma knife ile talamotomi uygulanabilen cerrahi yöntemlerdir. Esansiyel tremor ve Parkinson hastalığına bağlı tremorda uzun dönemli başarı oranları yüksek iken diğer tip tremorlarda başarı oranı daha düşüktür. Günümüzde cerrahiye bağlı komplikasyon oranları da kabul edilebilir sınırlar içindedir

Keywords

cerrahi derin beyin stimulasyonu gamma knife talamotomi tremor

References

  • Emre M, Hanağası H. Hareket bozuklukları: Kavram ve sınıflama. Parkinson Hastalığı. Murat Emre, Ed. İstanbul, Güneş Tıp Kitabevleri 2010, pp 55-58.
  • Bakay RAE. Ablative and Stimulation procedures: Techniques and Outcome. Seminars in Neurosurg 2001;12:195-212.
  • Hassler R, Riechert T, Mundinger F, Umbach W, Ganglberger JA. Physiological observations in extrapyramidal motor disturbances. Brain 1960;83:337- 350.
  • Leksell L. Cerebral radiosurgery. Acta Chir Scand 1968;134:585-595
  • Kondziolka D. Functional Neurosurgery. Neurosurgery 1999;44:12-22.
  • Peker S, Kılıç T, Pamir MN: Tremor tedavisinde Gamma Knife. Olgu sunumu. Türk Nöroloji Dergisi 2002;8:107-112.
  • Peker S. Fonksiyonel hastalıkların tedavisinde radyocerrahi. Türkiye Klinikleri J Neurosurg-Special Topics 2009;2:70-77.
  • Starr PA, Vitek JL, Bakay RAE. Ablative surgery and deep brain stimulation for parkinson’s disease. Neurosurgery 1998;43:989-1015.
  • Cosman ER. Radiofrequency lesions. In Textbook of Stereotactic and Functional Neurosurgery. PL Gildenberg and RR Tasker Eds. New York, McGraw- Hill 1997, pp973-986.
  • Dieckmann G, Gabriel E, Hassler R. Size, form and structural peculiarities of experimental brain lesions obtained by thermo-controlled radiofrequency. Confin Neurol 1965;26:134-142.
  • Walter BL, Vitek JL. Surgical treatment for parkinson’s disease. Lancet Neurology 2004;3:719-728.
  • Olanow CW, Brin MF, Obeso JA. The role of deep brain stimulation as a surgical treatment for parkinson’s disease. Neurology 2000;Suppl 6:S60-S66.
  • Louis ED, Ottman R, Hauser WA. How common is the most common adult movement disorder? Estimates of the prevalence of essential tremor throughout the world. Mov Disord 1998;13:5-10.
  • Kondziolka D, Ong JG, Lee JY, Moore RY, Flickinger JC, Lunsford LD. Gamma Knife thalamotomy for essential tremor. J Neurosurg 2008;108:111-117.
  • Young RF, Li F, Vermeulen S, Meier R. Gamma Knife thalamotomy for treatment of essential tremor: long-term results. J Neurosurg 2009 Nov 6 [Epub ahead of print]
  • Bertrand C, Hardy J, Molina-Negro P, Martinez SN. Tremor of attitude. Confin Neurol 1969;31:37-41
  • Van Manen J. Stereotaxic operations in cases of hereditary and intention tremor. Acta Neurosurg 1974;Suppl 21:49-55.
  • Nagaseki Y, Shibazaki T, Hirai T et al. Long-term follow-up results of selective VIM-thalamotomy. J Neurosurg 1986;65:296-302.
  • Mohadjer M, Goerke H, Milios E, Etou A, Mundinger F. Long-term results of stereotaxy in the treatment of essential tremor. Stereotact Funct Neurosurg 1990;55:125-129.
  • Benabid AL, Pollak P, Gervason C et al. Long-term supression of tremor by chronic stimulation of the ventral intermediate thalamic nucleus. Lancet 1991;337:403-406.
  • Koller W, Pahwa R, Busenbark KL et al. High-frequency unilateral thalamic stimulation in the treatment of essential and parkinsonian tremor. Ann Neurol 1997;42:292-299.
  • Zhang K, Bhatia S, Oh MY, Cohen D, Angle C, Whiting D. Long-term results of thalamic deep brain stimulation for essential tremor. J Neurosurg 2009 Nov 13 [Epub ahead of print]
  • Lyons KE, Wilkinson SB, Pahwa R. Stimulation of the motor cortex for disabling essential tremor. Clin Neurol Neurosurg 2006;108:564-567.
  • Broggi G, Dones I, Ferroli P, Franzini A, Genitrini S, Micon BM. Surgery for movement disorders: Complications and complication avoidance. Seminars in Neurosurg 2001;12:225-231.
  • Duma CM, Jacques DB, Kopyov OV, Mark RJ, Copcutt B, Farokhi HK. Gamma knife radiosurgery for thalamotomy in parkinsonian tremor: a five year experience. J Neurosurg 1998;88:1044-1049.
  • Ondo W, Jankovic J, Schwartz K, Almaguer M, Simpson RK. Unilateral thalamic deep brain stimulation for refractory essential tremor and Parkinsons disease tremor. Neurology 1998;51:1063-1069.
  • Benabid AL, Pollak P, Hoffman D, LeBas JF, Ming GD. Chronic high-frequency thalamic stimulation in Parkinson’s disease. In Therapy of Parkinsons Disease, WC Koller and G Paulson Eds, New York, Marcel Dekker 1995, pp 381-401.
  • Schuurman PR, Bosch DA, Merkus MP, Speelman JD. Long-term follow-up of thalamic stimulation versus thalamotomy for tremor suppression. Mov Disord 2008;15:1146-1153.
  • Bittar RG, Hyam J, Nandi D et al. Thalamotomy versus thalamic stimulation for multiple sclerosis tremor. J Clin Neurosci 2005;12:638-642.
  • Yap L, Kouyialis A, Varma TR. Stereotactic neurosurgery for disabling tremor in multiple sclerosis: thalamotomy or deep brain stimulation? Br J Neurosurg 2007;21:349-354.
  • Mathieu D, Kondziolka D, Niranjan A, Flickinger J, Lunsford LD. Gamma knife thalamotomy for multiple sclerosis tremor. Surg Neurol 2007;68:394- 399.
  • Plaha P, Khan S, Gill SS. Bilateral stimulation of the caudal zona incerta nucleus for tremor control. J Neurol Neurosurg Psychiatry 2008;79:504-513.
  • Sanborn MR, Danish SF, Ranalli NJ, Grady MS, Jaggi JL, Baltuch GH. Thalamic deep brain stimulation for midbrain tremor secondary to cystic degeneration of the brainstem. Stereotact Funct Neurosurg 2009;87:128-133.
  • Sobstyl M, Zabek M, Koziara H, Kadziołka B. Stereotactic ventrolateral thalamotomy in the treatment of Holmes tremor. Neurol Neurochir Pol 2004;38:101-107.
  • Lim DA, Khandhar SM, Heath S, Ostrem JL, Ringel N, Starr P. Multiple target deep brain stimulation for multiple sclerosis related and poststroke Holmes’ tremor. Stereotact Funct Neurosurg 2007;85:144-149.
  • Peker S, Isik U, Akgün Y, Özek MM. Deep brain stimulation for Holmes tremor related to a thalamic abscess. Childs Nerv Syst 2008;24:1057-1062
There are 36 citations in total.

Details

Primary Language Turkish
Journal Section Collection
Authors

Yasemin Akgün

Selçuk Peker

Publication Date September 1, 2010
Published in Issue Year 2010Issue: 3

Cite

EndNote Akgün Y, Peker S (September 1, 2010) Tremor Tedavisinde Cerrahi Girişimler. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 3 123–127.