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[Deep brain stimulation for essential tremor. Consensus recommendations of the German Deep Brain Stimulation
F Sixel-Döring1, R Benecke, W Fogel
1Paracelsus-Elena-Klinik, Klinikstrasse 16, 34128, Kassel. friederike.sixel@pk-mx.de
Der Nervenarzt
|May 1, 2009
Summary
Deep brain stimulation (DBS) of the thalamic ventralis intermedius nucleus (VIM) effectively treats essential tremor unresponsive to medication, particularly hand tremors. This consensus statement outlines German recommendations for DBS VIM therapy.
Area of Science:
- Neurology
- Neurosurgery
Context:
- Deep brain stimulation (DBS) targeting the thalamic ventralis intermedius nucleus (VIM) is approved in Germany for essential tremor.
- Pharmacotherapy-resistant essential tremor significantly impacts daily living, especially hand tremors.
Purpose:
- To present the German Deep Brain Stimulation Study Group's consensus statement on VIM DBS for essential tremor.
- To define inclusion/exclusion criteria and perioperative management for VIM DBS.
Summary:
- VIM DBS is superior to lesional thalamotomy for essential tremor, offering better functional outcomes and fewer adverse effects.
- While effective for hand tremor, VIM DBS shows limited response for head, tongue, or vocal tremors.
Impact:
- Provides evidence-based guidelines for VIM DBS in essential tremor management in Germany.
- Aims to optimize patient selection and treatment protocols for VIM DBS, improving patient outcomes.
