Chronic spinal cord stimulation in medically intractable orthostatic tremor
| Autor: | Hansjörg Bäzner, Rittmann M, Christian Blahak, E. Grips, Hans-Holger Capelle, Ralf Weigel, Joachim K. Krauss, Johannes C. Wöhrle |
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| Rok vydání: | 2006 |
| Předmět: |
Male
Paper medicine.medical_specialty Thoracic spine Posture Central nervous system Electric Stimulation Therapy Stimulation Neurological disorder Spinal cord stimulation Physical medicine and rehabilitation Tremor Humans Medicine Aged Orthostatic tremor Medical treatment business.industry Middle Aged medicine.disease Spinal cord Psychiatry and Mental health Treatment Outcome medicine.anatomical_structure Spinal Cord Physical therapy Female Surgery Neurology (clinical) business |
| Zdroj: | Journal of Neurology, Neurosurgery & Psychiatry. 77:1013-1016 |
| ISSN: | 0022-3050 |
| DOI: | 10.1136/jnnp.2005.086132 |
| Popis: | Background: Orthostatic tremor with its sense of unsteadiness when standing may have a devastating effect on affected persons. Currently, there are no other treatment options in those who do not respond or who do not tolerate medical treatment. Objectives: To report on a pilot study on spinal cord stimulation in medically intractable orthostatic tremor. Methods: Chronic spinal cord stimulation (SCS) was performed in two patients with medically-intractable orthostatic tremor via quadripolar plate electrodes implanted at the lower thoracic spine. The electrodes were connected to implantable pulse generators. Results: Subjective and objective improvement of unsteadiness was achieved within a frequency range of 50 to 150 Hz, and occurred in the presence of stimulation-induced paraesthesia. With optimized stimulation settings polygraphic electromyelogram (EMG) recordings continued to show the typical 14–16 Hz EMG activity. The beneficial effect of SCS was maintained at long-term follow-up. Conclusions: The results of this pilot study indicate that SCS may be an option in patients with otherwise intractable orthostatic tremor. |
| Databáze: | OpenAIRE |
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