Combined Short-Pulse and Directional Deep Brain Stimulation of the Thalamic Ventral Intermediate Area for Essential Tremor

Ute Hidding; Susanne Lezius; Miriam Schaper; Carsten Buhmann; Christian Gerloff; Monika Pötter-Nerger; Wolfgang Hamel; Christian K E Moll; Chi-Un Choe

doi:10.1016/j.neurom.2022.09.009

Combined Short-Pulse and Directional Deep Brain Stimulation of the Thalamic Ventral Intermediate Area for Essential Tremor

Standard

Combined Short-Pulse and Directional Deep Brain Stimulation of the Thalamic Ventral Intermediate Area for Essential Tremor. / Hidding, Ute ; Lezius, Susanne; Schaper, Miriam; Buhmann, Carsten; Gerloff, Christian; Pötter-Nerger, Monika ; Hamel, Wolfgang; Moll, Christian K E; Choe, Chi-Un.

In: NEUROMODULATION, Vol. 26, No. 8, 12.2023, p. 1680-1688.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Hidding, U , Lezius, S, Schaper, M, Buhmann, C, Gerloff, C, Pötter-Nerger, M , Hamel, W, Moll, CKE & Choe, C-U 2023, 'Combined Short-Pulse and Directional Deep Brain Stimulation of the Thalamic Ventral Intermediate Area for Essential Tremor', NEUROMODULATION, vol. 26, no. 8, pp. 1680-1688. https://doi.org/10.1016/j.neurom.2022.09.009

APA

Hidding, U., Lezius, S., Schaper, M., Buhmann, C., Gerloff, C., Pötter-Nerger, M., Hamel, W., Moll, C. K. E., & Choe, C-U. (2023). Combined Short-Pulse and Directional Deep Brain Stimulation of the Thalamic Ventral Intermediate Area for Essential Tremor. NEUROMODULATION, 26(8), 1680-1688. https://doi.org/10.1016/j.neurom.2022.09.009

Vancouver

Hidding U , Lezius S, Schaper M, Buhmann C, Gerloff C, Pötter-Nerger M et al. Combined Short-Pulse and Directional Deep Brain Stimulation of the Thalamic Ventral Intermediate Area for Essential Tremor. NEUROMODULATION. 2023 Dec;26(8):1680-1688. https://doi.org/10.1016/j.neurom.2022.09.009

Bibtex

@article{c5c04acc05994e03b5389118886a4d63,

title = "Combined Short-Pulse and Directional Deep Brain Stimulation of the Thalamic Ventral Intermediate Area for Essential Tremor",

abstract = "OBJECTIVE: Novel deep brain stimulation (DBS) systems allow directional and short-pulse stimulation to potentially improve symptoms and reduce side effects. The aim of this study was to investigate the effect of short-pulse and directional stimulation, in addition to a combination of both, in the ventral intermediate thalamus (VIM)/posterior subthalamic area (PSA) on tremor and stimulation-induced side effects in patients with essential tremor.MATERIALS AND METHODS: We recruited 11 patients with essential tremor and VIM/PSA-DBS. Tremor severity (Fahn-Tolosa-Marin), ataxia (International Cooperative Ataxia Rating Scale), and paresthesia (visual analog scale) were assessed with conventional omnidirectional and directional stimulation with pulse width of 60 μs and 30 μs.RESULTS: All stimulation conditions reduced tremor. The best directional stimulation with 60 μs reduced more tremor than did most other stimulation settings. The best directional stimulation, regardless of pulse width, effectively reduced stimulation-induced ataxia compared with the conventional stimulation (ring 60 μs) or worst directional stimulation with 60 μs. All new stimulation modes reduced occurrence of paresthesia, but only the best directional stimulation with 30 μs attenuated paresthesia compared with the conventional stimulation (ring 60 μs) or worst directional stimulation with 60 μs. The best directional stimulation with 30 μs reduced tremor, ataxia, and paresthesia compared with conventional stimulation in most patients. Correlation analyses indicated that more anterior stimulation sites are associated with stronger ataxia reduction with directional 30 μs than with conventional 60 μs stimulation.CONCLUSION: Directional and short-pulse stimulation, and a combination of both, revealed beneficial effects on stimulation-induced adverse effects.",

author = "Ute Hidding and Susanne Lezius and Miriam Schaper and Carsten Buhmann and Christian Gerloff and Monika P{\"o}tter-Nerger and Wolfgang Hamel and Moll, {Christian K E} and Chi-Un Choe",

year = "2023",

month = dec,

doi = "10.1016/j.neurom.2022.09.009",

language = "English",

volume = "26",

pages = "1680--1688",

journal = "NEUROMODULATION",

issn = "1094-7159",

publisher = "Wiley-Blackwell",

number = "8",

}

RIS

TY - JOUR

T1 - Combined Short-Pulse and Directional Deep Brain Stimulation of the Thalamic Ventral Intermediate Area for Essential Tremor

AU - Hidding, Ute

AU - Lezius, Susanne

AU - Schaper, Miriam

AU - Buhmann, Carsten

AU - Gerloff, Christian

AU - Pötter-Nerger, Monika

AU - Hamel, Wolfgang

AU - Moll, Christian K E

AU - Choe, Chi-Un

PY - 2023/12

Y1 - 2023/12

N2 - OBJECTIVE: Novel deep brain stimulation (DBS) systems allow directional and short-pulse stimulation to potentially improve symptoms and reduce side effects. The aim of this study was to investigate the effect of short-pulse and directional stimulation, in addition to a combination of both, in the ventral intermediate thalamus (VIM)/posterior subthalamic area (PSA) on tremor and stimulation-induced side effects in patients with essential tremor.MATERIALS AND METHODS: We recruited 11 patients with essential tremor and VIM/PSA-DBS. Tremor severity (Fahn-Tolosa-Marin), ataxia (International Cooperative Ataxia Rating Scale), and paresthesia (visual analog scale) were assessed with conventional omnidirectional and directional stimulation with pulse width of 60 μs and 30 μs.RESULTS: All stimulation conditions reduced tremor. The best directional stimulation with 60 μs reduced more tremor than did most other stimulation settings. The best directional stimulation, regardless of pulse width, effectively reduced stimulation-induced ataxia compared with the conventional stimulation (ring 60 μs) or worst directional stimulation with 60 μs. All new stimulation modes reduced occurrence of paresthesia, but only the best directional stimulation with 30 μs attenuated paresthesia compared with the conventional stimulation (ring 60 μs) or worst directional stimulation with 60 μs. The best directional stimulation with 30 μs reduced tremor, ataxia, and paresthesia compared with conventional stimulation in most patients. Correlation analyses indicated that more anterior stimulation sites are associated with stronger ataxia reduction with directional 30 μs than with conventional 60 μs stimulation.CONCLUSION: Directional and short-pulse stimulation, and a combination of both, revealed beneficial effects on stimulation-induced adverse effects.

AB - OBJECTIVE: Novel deep brain stimulation (DBS) systems allow directional and short-pulse stimulation to potentially improve symptoms and reduce side effects. The aim of this study was to investigate the effect of short-pulse and directional stimulation, in addition to a combination of both, in the ventral intermediate thalamus (VIM)/posterior subthalamic area (PSA) on tremor and stimulation-induced side effects in patients with essential tremor.MATERIALS AND METHODS: We recruited 11 patients with essential tremor and VIM/PSA-DBS. Tremor severity (Fahn-Tolosa-Marin), ataxia (International Cooperative Ataxia Rating Scale), and paresthesia (visual analog scale) were assessed with conventional omnidirectional and directional stimulation with pulse width of 60 μs and 30 μs.RESULTS: All stimulation conditions reduced tremor. The best directional stimulation with 60 μs reduced more tremor than did most other stimulation settings. The best directional stimulation, regardless of pulse width, effectively reduced stimulation-induced ataxia compared with the conventional stimulation (ring 60 μs) or worst directional stimulation with 60 μs. All new stimulation modes reduced occurrence of paresthesia, but only the best directional stimulation with 30 μs attenuated paresthesia compared with the conventional stimulation (ring 60 μs) or worst directional stimulation with 60 μs. The best directional stimulation with 30 μs reduced tremor, ataxia, and paresthesia compared with conventional stimulation in most patients. Correlation analyses indicated that more anterior stimulation sites are associated with stronger ataxia reduction with directional 30 μs than with conventional 60 μs stimulation.CONCLUSION: Directional and short-pulse stimulation, and a combination of both, revealed beneficial effects on stimulation-induced adverse effects.

U2 - 10.1016/j.neurom.2022.09.009

DO - 10.1016/j.neurom.2022.09.009

M3 - SCORING: Journal article

C2 - 36369082

VL - 26

SP - 1680

EP - 1688

JO - NEUROMODULATION

JF - NEUROMODULATION

SN - 1094-7159

IS - 8

ER -