Authors
Alim Louis Benabid, Pierre Pollak, Dongming Gao, Dominique Hoffmann, Patricia Limousin, Emmanuel Gay, Isabelle Payen, Abdhelhamid Benazzouz
Publication date
1996/2/1
Journal
Journal of neurosurgery
Volume
84
Issue
2
Pages
203-214
Publisher
Journal of Neurosurgery Publishing Group
Description
✓ Tremor was suppressed by test stimulation of the thalamic ventralis intermedius (VIM) nucleus at high frequency (130 Hz) during stereotaxy in nonanesthetized patients suffering from Parkinson's disease or essential tremor. Ventralis intermedius stimulation has since been used by the authors over the last 8 years as a treatment in 117 patients with movement disorders (80 cases of Parkinson's disease, 20 cases of essential tremor, and 17 cases of various dyskinesias and dystonias including four multiple sclerosis). Chronic electrodes were stereotactically implanted in the VIM and connected to a programmable stimulator. Results depend on the indication. In Parkinson's disease patients, tremor, but not bradykinesia and rigidity, was selectively suppressed for as long as 8 years. Administration of l -Dopa was decreased by more than 30% in 40 Parkinson's disease patients. In essential tremor …
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