Vim line technique thalamotomy for Parkinson tremor: Case series

Autor: Muhammad Hamdan, Asra Al Fauzi, Agus Turchan, Budi Utomo, Anggraini Dwi Sensusiati, Mohammad Hasan Macfoed, Priya Nugraha, Achmad Fahmi, Abdul Hafid Bajamal, Heri Subianto, Takaomi Taira, Riyanarto Sarno
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: International Journal of Surgery Case Reports
ISSN: 2210-2612
Popis: Highlights • Vim thalamotomy is a usual procedure to control Parkinson tremor. • The ventral intermediate nucleus of the thalamus is difficult to identify. • The precision is crucial importance for the successful Vim thalamotomy. • Vim line technique (VLT) is useful for the determination of the vim location.
Introduction The ventral intermediate (Vim) nucleus of the thalamus is difficult to identify even with 3 T magnetic resonance imaging. Stereotactic Vim thalamotomy is a usual procedure to control Parkinson tremor. Successful relieving of the tremor depends on the accuracy of defining the Vim location. Presentation of cases Three patients with Parkinson tremor were subjected to stereotactic thalamotomy using the Vim line technique (VLT) so as to precisely determine the Vim location. All patients showed good results, with improved tremors, as indicated by the UPDRS score, without any complications. Discussion The precise targeting of the Vim nucleus is crucial importance for the successful Vim thalamotomy. Various method has been developed to determine Vim location. Atlas based and Guiot’s technique routinely used by neurosurgeon. VLT is a new technique that has been developed to determine the Vim location on MRI. Conclusion VLT is useful for the determination of the Vim location. However, further research is warranted to prove its effectiveness.
Databáze: OpenAIRE