التفاصيل البيبلوغرافية
العنوان: |
Outcome of Essential Tremors with Stereotactic Thalamotomy: Noble Art of Lesioning |
المؤلفون: |
KALHORO, AURANGZEB, SALEEM, ABID, ATTAR M. HASHIM, ABDUL S |
المصدر: |
Pakistan Journal Of Neurological Surgery; Vol. 24 No. 3 (2020): July-September; 225 – 230 ; 2409-5567 ; 1995-8811 |
بيانات النشر: |
Pakistan Society of Neurosurgeons |
سنة النشر: |
2020 |
مصطلحات موضوعية: |
Essential Tremor, Stereotactic Thalamotomy, Nucleus Ventralis Intermedius, socio, edu |
الوصف: |
Objective:Objective of study is to identify the effects of Stereotactic thalamotomy of the nucleus ventral intermediate (VIM) for treatment of essential tremor. Material and Methods:This is a descriptive study.It was performed at NCCI, Karachi, duration of study was 7 years, from 2-10-2012 to 7-10-2019. Those patients were included who were with tremors refractory to medication, their duration of disease was > 3 years, and with grade 4 tremors. The thalamotomy was performed in all cases, and follow-up was conducted at 3, 6, and 12 months respectively. The success of the surgery was measured in the form of a reduction in medication number and reduction in dose >50% and by calculating the Essential Tremor Rating Assessment Scale (tetras). Results:Total of 26 patients were included. All patients showed remarkable improvement post-procedure at 12 month follow-up. 20 (77%) patient required no medications. In 6 (23%) patients, the dose of medication was reduced to less than half post-treatment. The tetras score showed marked improvement in all a patient; 4 (15%) patients who had grade 4 tremor, showed the symptoms of minimal tremors graded 0.5 on last visit 3rd visit. Side effect post-procedure were mild transient numbness on the contralateral side was observed in 11 (42.3%) patient, 1 (3.8%) patient had dysarthria. Conclusion:We concluded that stereostatic Ventral intermedius nucleus thalamotomy was effective in reducing tremor grades and improved all functionality with few mild side effects. |
نوع الوثيقة: |
article in journal/newspaper |
اللغة: |
English |
العلاقة: |
http://pakjns.org/index.php/pjns/article/view/465Test |
الإتاحة: |
http://pakjns.org/index.php/pjns/article/view/465Test |
حقوق: |
undefined |
رقم الانضمام: |
edsbas.B6FB159E |
قاعدة البيانات: |
BASE |