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Thalamic stimulation for midbrain tremor after partial hemangioma resection.
Rajesh Pahwa1, Kelly E Lyons, Lucas Kempf
1Department of Neurology, University of Kansas Medical Center, Kansas City, Kansas 66160, USA. rpahwa@kumc.edu
Summary
We report a case of severe midbrain tremor that did not respond to medication but improved with deep brain stimulation of the thalamus in a patient with a history of hemangioma resection.
Area of Science:
- Neurology
- Neurosurgery
Background:
- Medication-resistant tremor can significantly impair quality of life.
- Midbrain tremors are a challenging subtype of movement disorders.
Observation:
- A patient developed disabling tremor after partial hemangioma resection.
- The tremor was resistant to all medical management.
Findings:
- Deep brain stimulation (DBS) of the thalamus was performed.
- Thalamic DBS resulted in significant tremor reduction and functional improvement.
Implications:
- Deep brain stimulation is a viable therapeutic option for medication-resistant midbrain tremors.
- This case highlights the potential of neuromodulation for post-surgical movement complications.