Stereotactic and functional neurosurgery · 2025
Lack of Therapeutic Benefit of Ventral Intermediate Nucleus Thalamotomy for Tremor-Like Myoclonus in Two Cases of Benign Adult Familial Myoclonus Epilepsy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Asahi Takashi, Nonaka Taku, Asahi Takashi, Horisawa Shiro, Takumi Ichiro, Ikeda Kiyonobu, Nakamura Akikazu, Azuma Kenko, Akagawa Hiroyuki, Yamamoto Jiro, Yamamoto Nobutaka, Taira Takaomi
Аннотация
INTRODUCTION: Benign adult familial myoclonus epilepsy (BAFME) is an autosomal dominant disorder characterized by adult-onset cortical tremor and infrequent generalized seizures. Treatment options for managing involuntary movements in BAFME remain limited.
CASE PRESENTATION: Here, we present 2 cases involving individuals with BAFME who underwent Vim thalamotomy for tremor-like myoclonus. Despite the intervention, neither patient experienced any improvement in their symptoms.
CONCLUSION: These findings suggest that the Vim may not contribute to the pathophysiology of tremor-like myoclonus in BAFME, despite the established efficacy of Vim thalamotomy in the treatment of essential tremor.
CASE PRESENTATION: Here, we present 2 cases involving individuals with BAFME who underwent Vim thalamotomy for tremor-like myoclonus. Despite the intervention, neither patient experienced any improvement in their symptoms.
CONCLUSION: These findings suggest that the Vim may not contribute to the pathophysiology of tremor-like myoclonus in BAFME, despite the established efficacy of Vim thalamotomy in the treatment of essential tremor.