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Deep brain stimulation of the ventrolateral thalamic base and posterior subthalamic area in dystonic head tremor

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Deep brain stimulation of the ventrolateral thalamic base and posterior subthalamic area in dystonic head tremor. / Buhmann, Carsten; Moll, Christian K E; Zittel-Dirks, Simone; Münchau, Alexander; Engel, Andreas K; Hamel, Wolfgang.

in: ACTA NEUROCHIR SUPPL, Jahrgang 117, 01.01.2013, S. 67-72.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Buhmann, C, Moll, CKE, Zittel-Dirks, S, Münchau, A, Engel, AK & Hamel, W 2013, 'Deep brain stimulation of the ventrolateral thalamic base and posterior subthalamic area in dystonic head tremor', ACTA NEUROCHIR SUPPL, Jg. 117, S. 67-72. https://doi.org/10.1007/978-3-7091-1482-7_11

APA

Buhmann, C., Moll, C. K. E., Zittel-Dirks, S., Münchau, A., Engel, A. K., & Hamel, W. (2013). Deep brain stimulation of the ventrolateral thalamic base and posterior subthalamic area in dystonic head tremor. ACTA NEUROCHIR SUPPL, 117, 67-72. https://doi.org/10.1007/978-3-7091-1482-7_11

Vancouver

Buhmann C, Moll CKE, Zittel-Dirks S, Münchau A, Engel AK, Hamel W. Deep brain stimulation of the ventrolateral thalamic base and posterior subthalamic area in dystonic head tremor. ACTA NEUROCHIR SUPPL. 2013 Jan 1;117:67-72. https://doi.org/10.1007/978-3-7091-1482-7_11

Bibtex

@article{5e0440fe0c3f4150b2f749357bb307ec,
title = "Deep brain stimulation of the ventrolateral thalamic base and posterior subthalamic area in dystonic head tremor",
abstract = "Dystonic head tremor (DHT) is characterized by head tremor associated with cervical dystonia (CD). Deep brain stimulation (DBS) can be considered when local treatment with botulinum toxin or oral medication has failed. However, there is lack of data regarding the optimal target structure for surgery in DHT.DBS of the ventrolateral (VL) thalamus is an established treatment option for medically refractory tremor. Tremor suppression is described as being most effective when stimulating at the inferior thalamic base and within the posterior subthalamic area (PSA). Moreover, there is surgical evidence from the pre-DBS era that both lesions and high-frequency stimulation of the PSA improve CD. Based on these observations, we performed DBS in three patients with DHT, placing the proximal contacts of the electrodes into the inferior base of VL thalamic nuclei and the distal contacts into the adjacent PSA. Chronic stimulation improved not only head tremor but also CD. These findings suggest that DBS at the base of VL thalamus and the adjacent PSA should undergo further investigation as a potential target for patients with DHT.",
keywords = "Adult, Aged, Deep Brain Stimulation, Dystonia, Female, Follow-Up Studies, Humans, Male, Middle Aged, Subthalamic Nucleus, Tomography, X-Ray Computed, Treatment Outcome, Tremor, Ventral Thalamic Nuclei",
author = "Carsten Buhmann and Moll, {Christian K E} and Simone Zittel-Dirks and Alexander M{\"u}nchau and Engel, {Andreas K} and Wolfgang Hamel",
year = "2013",
month = jan,
day = "1",
doi = "10.1007/978-3-7091-1482-7_11",
language = "English",
volume = "117",
pages = "67--72",
journal = "ACTA NEUROCHIR SUPPL",
issn = "0065-1419",
publisher = "Springer Wien",

}

RIS

TY - JOUR

T1 - Deep brain stimulation of the ventrolateral thalamic base and posterior subthalamic area in dystonic head tremor

AU - Buhmann, Carsten

AU - Moll, Christian K E

AU - Zittel-Dirks, Simone

AU - Münchau, Alexander

AU - Engel, Andreas K

AU - Hamel, Wolfgang

PY - 2013/1/1

Y1 - 2013/1/1

N2 - Dystonic head tremor (DHT) is characterized by head tremor associated with cervical dystonia (CD). Deep brain stimulation (DBS) can be considered when local treatment with botulinum toxin or oral medication has failed. However, there is lack of data regarding the optimal target structure for surgery in DHT.DBS of the ventrolateral (VL) thalamus is an established treatment option for medically refractory tremor. Tremor suppression is described as being most effective when stimulating at the inferior thalamic base and within the posterior subthalamic area (PSA). Moreover, there is surgical evidence from the pre-DBS era that both lesions and high-frequency stimulation of the PSA improve CD. Based on these observations, we performed DBS in three patients with DHT, placing the proximal contacts of the electrodes into the inferior base of VL thalamic nuclei and the distal contacts into the adjacent PSA. Chronic stimulation improved not only head tremor but also CD. These findings suggest that DBS at the base of VL thalamus and the adjacent PSA should undergo further investigation as a potential target for patients with DHT.

AB - Dystonic head tremor (DHT) is characterized by head tremor associated with cervical dystonia (CD). Deep brain stimulation (DBS) can be considered when local treatment with botulinum toxin or oral medication has failed. However, there is lack of data regarding the optimal target structure for surgery in DHT.DBS of the ventrolateral (VL) thalamus is an established treatment option for medically refractory tremor. Tremor suppression is described as being most effective when stimulating at the inferior thalamic base and within the posterior subthalamic area (PSA). Moreover, there is surgical evidence from the pre-DBS era that both lesions and high-frequency stimulation of the PSA improve CD. Based on these observations, we performed DBS in three patients with DHT, placing the proximal contacts of the electrodes into the inferior base of VL thalamic nuclei and the distal contacts into the adjacent PSA. Chronic stimulation improved not only head tremor but also CD. These findings suggest that DBS at the base of VL thalamus and the adjacent PSA should undergo further investigation as a potential target for patients with DHT.

KW - Adult

KW - Aged

KW - Deep Brain Stimulation

KW - Dystonia

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Middle Aged

KW - Subthalamic Nucleus

KW - Tomography, X-Ray Computed

KW - Treatment Outcome

KW - Tremor

KW - Ventral Thalamic Nuclei

U2 - 10.1007/978-3-7091-1482-7_11

DO - 10.1007/978-3-7091-1482-7_11

M3 - SCORING: Journal article

C2 - 23652659

VL - 117

SP - 67

EP - 72

JO - ACTA NEUROCHIR SUPPL

JF - ACTA NEUROCHIR SUPPL

SN - 0065-1419

ER -