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$MRI-guided Focused Ultrasound Thalamotomy for Patients with Medically-refractory Essential Tremor$

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Essential Tremor.

Stephen G Reich¹

¹Department of Neurology, University of Maryland School of Medicine, 110 South Paca Street, 3rd Floor, Baltimore, MD 21201, USA.

The Medical Clinics of North America

|February 2, 2019

Summary

This summary is machine-generated.

Essential tremor, a common movement disorder, causes upper limb tremors and may affect the head or voice. First-line treatments include propranolol and primidone, with surgical options for severe cases.

Keywords:

Deep brain stimulation Essential tremor Focused ultrasound Parkinsonism Parkinson’s disease Tremor

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Area of Science:

Neurology
Movement Disorders

Background:

Essential tremor is a prevalent neurological condition characterized by action tremors.
It typically affects the upper limbs bilaterally, potentially involving the head and voice.
The disorder often has a gradual onset and familial predisposition.

Purpose of the Study:

To summarize the key aspects of essential tremor.
To outline current treatment strategies for essential tremor.

Main Methods:

Literature review of essential tremor characteristics and treatments.

Main Results:

Essential tremor presents as a progressive, often familial, action tremor.
Propranolol and primidone are first-line pharmacotherapies, demonstrating synergistic effects.
Deep brain stimulation and focused ultrasound are options for medically refractory cases.

Conclusions:

Essential tremor management involves pharmacotherapy and, in severe instances, neurosurgical interventions.
Early recognition and appropriate treatment are crucial for managing essential tremor symptoms.