Deep brain stimulation for tremor resulting from acquired brain injury

OBJECTIVES: To evaluate the efficacy of deep brain stimulation (DBS) in the treatment of tremor resulting from acquired brain injury (ABI). METHODS: A series of eight consecutive patients with post-ABI tremor were treated with DBS of the ventro-oralis posterior (VOP)/zona incerta (ZI) region, and su...

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Main Authors: Sitsapesan, H, Holland, P, Oliphant, Z, De Pennington, N, Brittain, J, Jenkinson, E, Joint, C, Aziz, T, Green, A
Format: Journal article
Language:English
Published: BMJ Publishing Group 2013
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author Sitsapesan, H
Holland, P
Oliphant, Z
De Pennington, N
Brittain, J
Jenkinson, E
Joint, C
Aziz, T
Green, A
author_facet Sitsapesan, H
Holland, P
Oliphant, Z
De Pennington, N
Brittain, J
Jenkinson, E
Joint, C
Aziz, T
Green, A
author_sort Sitsapesan, H
collection OXFORD
description OBJECTIVES: To evaluate the efficacy of deep brain stimulation (DBS) in the treatment of tremor resulting from acquired brain injury (ABI). METHODS: A series of eight consecutive patients with post-ABI tremor were treated with DBS of the ventro-oralis posterior (VOP)/zona incerta (ZI) region, and subsequently underwent blinded assessments using Bain's tremor severity scale. RESULTS: VOP/ZI DBS produced a mean reduction in tremor severity of 80.75% based on Bain's tremor severity scale, with significant reductions in all five component tremor subscores: rest, postural, kinetic, proximal and distal. No adverse neurological complications were reported, although one patient experienced exacerbation of pre-existing gait ataxia. CONCLUSION: VOP/ZI stimulation is demonstrated here to be an effective and safe approach for the treatment of post-ABI tremor in the largest series published at the time of writing.
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spelling oxford-uuid:a030aeb9-354f-4cb7-85b3-38a3fde499882022-03-27T02:03:42ZDeep brain stimulation for tremor resulting from acquired brain injuryJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a030aeb9-354f-4cb7-85b3-38a3fde49988EnglishSymplectic Elements at OxfordBMJ Publishing Group2013Sitsapesan, HHolland, POliphant, ZDe Pennington, NBrittain, JJenkinson, EJoint, CAziz, TGreen, AOBJECTIVES: To evaluate the efficacy of deep brain stimulation (DBS) in the treatment of tremor resulting from acquired brain injury (ABI). METHODS: A series of eight consecutive patients with post-ABI tremor were treated with DBS of the ventro-oralis posterior (VOP)/zona incerta (ZI) region, and subsequently underwent blinded assessments using Bain's tremor severity scale. RESULTS: VOP/ZI DBS produced a mean reduction in tremor severity of 80.75% based on Bain's tremor severity scale, with significant reductions in all five component tremor subscores: rest, postural, kinetic, proximal and distal. No adverse neurological complications were reported, although one patient experienced exacerbation of pre-existing gait ataxia. CONCLUSION: VOP/ZI stimulation is demonstrated here to be an effective and safe approach for the treatment of post-ABI tremor in the largest series published at the time of writing.
spellingShingle Sitsapesan, H
Holland, P
Oliphant, Z
De Pennington, N
Brittain, J
Jenkinson, E
Joint, C
Aziz, T
Green, A
Deep brain stimulation for tremor resulting from acquired brain injury
title Deep brain stimulation for tremor resulting from acquired brain injury
title_full Deep brain stimulation for tremor resulting from acquired brain injury
title_fullStr Deep brain stimulation for tremor resulting from acquired brain injury
title_full_unstemmed Deep brain stimulation for tremor resulting from acquired brain injury
title_short Deep brain stimulation for tremor resulting from acquired brain injury
title_sort deep brain stimulation for tremor resulting from acquired brain injury
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