Stereotactic and functional neurosurgery · 2020
Magnetic Resonance-Guided Focused Ultrasound Thalamotomy to Treat Essential Tremor in Nonagenarians.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Paff Michelle, Boutet Alexandre, Neudorfer Clemens, Elias Gavin J B, Germann Jürgen, Loh Aaron, Kucharczyk Walter, Fasano Alfonso, Schwartz Michael L, Lozano Andres M
Аннотация
Essential tremor (ET) is a disabling movement disorder that is most prevalent among the elderly. While deep brain stimulation surgery targeting the ventral intermediate nucleus of the thalamus is commonly used to treat ET, the most elderly patients or those with multiple medical comorbidities may not qualify as surgical candidates. Magnetic resonance-guided focused ultrasound (MRgFUS) constitutes a less invasive modality that may be used to perform thalamotomy without the need for a burr hole craniotomy. Here, we report on 2 patients over the age of 90 years who benefited significantly from MRgFUS thalamotomy to relieve their symptoms and improve their quality of life. The procedure was well tolerated and performed safely in both patients. We conclude that age should not be a limiting factor in the treatment of patients with MRgFUS.