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Deep brain stimulation in the treatment of Holmes tremor – A long-term case observation
- Department of Neurology, Jagiellonian University Medical College, Krakow, Poland
- Department of Neurology, Medical University of Silesia, Zabrze, Poland
- Medtronic, Warsaw, Poland
- Department of Neurosurgery, Jagiellonian University Medical College, Poland
open access
Abstract
We present the patient with Holmes tremor secondary to the infarction of thalamus, successfully treated with the deep brain stimulation (DBS) of the area between ventralis oralis anterior and zona incerta for a long time, in whom the severe tremor reappeared after removal of the DBS lead. This is the first presentation of the effective DBS on this location. Our case does not support the hypothesis that the DBS treatment could lead to sustained relief of symptoms after cessation of stimulation.
Abstract
We present the patient with Holmes tremor secondary to the infarction of thalamus, successfully treated with the deep brain stimulation (DBS) of the area between ventralis oralis anterior and zona incerta for a long time, in whom the severe tremor reappeared after removal of the DBS lead. This is the first presentation of the effective DBS on this location. Our case does not support the hypothesis that the DBS treatment could lead to sustained relief of symptoms after cessation of stimulation.
Keywords
Holmes tremor, Deep brain stimulation, Ventralis oralis anterior, Zona incerta
Title
Deep brain stimulation in the treatment of Holmes tremor – A long-term case observation
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
292-295
Page views
289
Article views/downloads
372
DOI
10.1016/j.pjnns.2014.06.002
Bibliographic record
Neurol Neurochir Pol 2014;48(4):292-295.
Keywords
Holmes tremor
Deep brain stimulation
Ventralis oralis anterior
Zona incerta
Authors
Natalia Grabska
Monika Rudzińska
Małgorzata Dec-Ćwiek
Marcin Tutaj
Wojciech Pietraszko
Michał Michalski
Andrzej Szczudlik